HomeMy WebLinkAbout06-06-11~f.COrtC~~~'-~d~~F~;~ HERITANCE TAX
BUREAU OF INDIVIDUAL TAXES J[ MENT WANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~ ~~ ~~
PO BOX 280601 ~~~~~UC~-FON~~;~.~ D ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
~ i ~u~'6 ~'~~: ~~; ~ ! DATE 06-07-2011
~~yyORPHgN~S COURT
JAMES A SHOTSBERGE ~~~Fg~Q~~ ~0, PA
3943 BROOKRIDGE DR
MECHANICSBURG PA 17050
ESTATE OF SHOTSBERGER HILDA
DATE OF DEATH 05-11-2010
FILE NUMBER 21 10-0559
COUNTY CUMBERLAND
SSN/DC 196-14-3221
ACN 10139601
APPEAL BY DATE:08-06-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
M
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS E~
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REV-1548 EX AFP (12-10}
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 06-07-2011
ESTATE OF:SHOTSBERGER HILDA M DATE OF DEATH:05-11-2010 COUNTY:CUMBERLAND
FILE NO.: 21 10-0559 S.S/D.C. NO.: 196-14-3221
ACN: 10139601
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.: 1051074304
TYPE OF ACCOUNT: C }SAVINGS CX) CHECKING ( )TRUST ( }TIME CERTIFICATE
DATE ESTABLISHED 10-02-2003
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
489.10
X 0.500
244.55
- .00
244.55
Y .15
36.68
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."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 06-15-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 36.68
INTEREST AND PEN. .37
TOTAL DUE 37.05
^ 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.