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HomeMy WebLinkAbout12-05-11~~' - ~ -U7~CE OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES ~' ., ~ INHERITANCE TAX DIVISION APPRA15~M~t~T, ALLOWANCE OR DISALLOWANCE ''~`~' OF DEDUCTIONS, AND ASSESSMENT OF TAX ON PO BOX 280601 ' HARRISBURG PA 17126-0601 JOINTLY HELD OR TRUST ASSETS se ''". *':. ' MELVIN 216 REESER CAMP HILL Pennsylvania °"~ ~'~ DEPARTMENT OF REVENUE REV-1548 EX AFP (12-1D) :.~'''', i ,~v _a F`C'1 ..~• '~ ~ DATE 11-28-2011 CI.Et~K 0~ Q~P;-IAN'S ~ rO, JET PA 17011-1923 ESTATE OF EARNER BETTY DATE OF DEATH 03-21-2010 FILE NUMBER 21 11-0246 COUNTY CUMBERLAND SSN/DC 195-24-5713 ACN 11107783 APPEAL BY DATE:O1-27-2012 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 J CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~"~ REV-1548 EX AFP C12-10~--------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND'. ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 11-28-2011 ESTATE OF:FARNER BETTY COUNTY:CUMBERLAND FILE NO.: 21 11-0246 S.S/D.C. NO.: 195-24-5713 ACN: 11107783 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.: 2335541401 TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING C )TRUST C ~ TIME CERTIFICATE DATE ESTABLISHED 11-09-2007 Account Balance Percent Taxable Amount Sub]ect to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TwY f`DCTTTC. 1,201.92 NOTE: X 0.500 600.96 - .00 600.96 y .00 .00 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." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID W EARNER RD J DATE OF DEATH:03-21-2010 TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER THIS DA E, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ IF TOTAL DUE IS REFLE~TED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE DF TIHIS FORM FOR INSTRUCTIONS.