HomeMy WebLinkAbout12-19-11NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAX~~"`!.~~~ -q;R~RA~~EMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION pf~'ID~DUCTIONS, AND ASSESSMENT OF TAX ON
PO BOX 280601 G~
HARRISBURG PA 17128-0601 ~~ ' '`1JOINTLY HELD OR TRUST ASSETS
11\ lJ~
C~ER~ '~~
~,,,, ~,
RYAN N F `. < <-~,ti
~.~~
212 STONEHOUSE RD
CARLISLE PA 17015-9429
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10?
DATE 1"e'-12-2011
ESTATE OF FAILOR HARRY
DATE OF DEATH 03-18-2011
FILE NUMBER
COUNTY Cl1MBERLAND
SSN/DC 186-28-6903
ACN 111170156
APPEAL BY DATE:02-10-2012
(See reverse side under Objections)
Amount Remitted)
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA li'013
E
CUT ALONG THIS LINE "~ -_RETAIN-LOWER_PORTION-FOR-YOUR_RECORDS-- E'er'___________________
REV-1548 EX AFP C12-10)
DEDUCTIONSINANDIASSESSMENTAOFRTAXEONNJOINTLYWHELD OR TRUSTLASSETS OF
DATE: 12-12-2011
ESTATE OF:FAILOR
FILE NO.: S.S/D.C. NO.: 186-28-6903 ACN: 11170156
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.: 2894017975
TYPE OF ACCOUNT: (X)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 07-13-1989
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
4,892.74
X 0.166
815.47
_ 5,149.50
.00
.045
.00
DISCOUNT C+)
INTEREST/PEN PAID C-)
NOTE: TCi ENSURE PROPER CREDIT TO
YCIUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
W]:TH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
AMOUNT PAID
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
HARRY E DATE OF DEATH:03-18-2011 COUNTY:CUMBERLAND
.00
.00
.00
.00
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
~~,,~~~~~~ ~ ~ NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUALr9nt,X~S' ~pRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION .!O.F. DEDUCTIONS, AND ASSESSMENT OF TAX ON
PO BOX 280601 -
HARRISBURG PA 17128-0601 - JOINTLY HELD OR TRUST ASSETS
r P 1
CLEF,. r/,-
Y .' .
RYAN NC~IA~•~~''',~'' r,.'~) PA
212 STONEHOUSE RD
CARLISLE PA 17015-9429
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-10)
DATE 12-12-2011
ESTATE OF FAILOR HARRY
DATE OF DEATH 03-18-2011
FILE NUMBER
COUNTY CUMBERLAND
SSN/DC 1$b-28-6903
ACN 11170154
APPEAL BY DATE:02-10-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 1.7013
E
CUT ALONG THIS LINE ~"~ --RETAIN-LOWER-PORTION-FOR-YOUR-RECORDS-- F"'-------------------
REV-1548 EX AFP C12-10)
DEDUCTIONSINANDIASSESSMENTAOFRTAXEONNJOINTLYWHELD OR TRUSTLASSETS OF
DATE: 12-12-2011
ESTATE OF:FAILOR HARRY E DATE OF DEATH:03-18-2011 COUNTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: 186-28-6903 ACN: 11170154
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.: 2891025326
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 09-04-1981
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
2,176.17
X 0.166
362.70
_ 5,149.50
.00
Y .045
.00
DISCOUNT (+)
INTEREST/PEN PAID C-)
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
AMOUNI' PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREiST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.