HomeMy WebLinkAbout11-23-11 (2)BUREAU OF INDIVIDUAL TAXESR
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
`-1NOTICE OF INHERITANCE TAX
APPRAh9EMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD DR TRUST ASSETS
pennsy(vania ~ ~,
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-10)
"" " 11-14-2011
ESTATE OF FARRELL
DATE OF DEATH 07-01-2011 JAMES K
FILE NUMBER 21 11-1000
COUNTY CUMBERLAND
ANN MIDGLEY ~ ~ ~ ~~~~ SSN/DC
263 W SOUTH STREET ACN 297-14-5377
CARLISLE 11148495
PA 17013 APPEAL BY 1)ATE:O1-13-2012
(See reverse side under Objections)
Amount Remitted ~~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQIUARE
CARLISLE PA 17013
CUT ALONG THIS LINE 'y RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1548 EX AFP (12-10~------' '------------- _
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
OF
ESTATE OF:FARRELL DATE: 11-14-2011
JAMES K DATE OF DEATH:07-O1-2011
FILE NO.: COUNTY:CUMBE_ R
21 11-1000 S.S/D.C.
NO.: 297_14-5377
TAX RETURN WA5: (X) ACCEPTED AS FILED C ) CHANGED ACN: 11148495
FINANCIAL INSTITUTION: MEMBERS 1ST CU OR TRUST ASSET INFORMATION
TYPE OF ACCOUNT: ( )SAVINGS ACCOUNT NO.: 319710-42
DATE ESTABLISHED 03-31-2009 ~ ) CHECKING ( )TRUST CX)TIME CERTIFICATE
Account Balance
Percent Taxable 16,155.57 NOTE:
X 0.166 TO ENSURE PROPER CREDIT TO
Amount Subject to Tax
Debts and Deductions _ 2,692.65 YOUR ACCOUNT, SUBMIT THE
.00 UPPER' PORTION OF THIS NOTICE
Taxable Amount WITH YOUR TAX PAYMENT TO THE
Tax Rate 2,692.65 REGISTER OF
Tax Due x 045 WILLS AT THE
121.17 ABOVE ADDRESS. MAKE CHECK
TAX CREDITS: OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT.~~
PAYMENT RECEIPT
DATE NUMBER DISCOUNT (+)
09-29-2011 INTEREST/PEN PAID (-) AMOUNT PAID
CD015021
6.06 115.12
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE i
121.18
00
C10 R
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.