HomeMy WebLinkAbout02-03-12BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
TAYLOR N MONROE
331 A STREET
('~F[~j~rF`~r1•' f ~ INHERITANCE TAX
(?(.tJl~A~II~~E ~ tTt~', LLOWANCE OR DISALLOWANCE
(~^^CClypf,;#D,U,~'T~ N~~~ AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
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CLERK GF
ORPHAN'S COt1Rr
CARLISLE PA 17013
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-1ll
DATE 02-06-2012
ESTATE OF MONROE DAWN M
DATE OF DEATH 08-19-2011
FILE NUMBER 21 11-1275
COUNTY CUMBERLAND
SSN/DC 193-58-4189
ACN 11159141
APPEAL BY DATE:04-06-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE '~ RETAIN LOWER PORTION FOR YOUR RECORDS (--
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REV-1548 EX AFP C12-11~
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 02-06-2012
ESTATE OF:MONROE DAWN M DATE OF DEATH:08-19-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-1275 S•~
TAX RETURN WAS: CX)
FINANCIAL INSTITUTION: MEMBERS
TYPE OF ACCOUNT: {X)SAVINGS
DATE ESTABLISHED 11-24-1997
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
>/D.C. NO.: 193-58-4189 ACN: 11159141
ACCEPTED AS FILED { ) CHANGED
JOINT OR TRUST ASSET INFORMATION
1ST FCU ACCOUNT NO.: 172316-00
C ) CHECKING C )TRUST { )TIME CERTIFICATE
559.31
X 0.166
93.22
- .00
93.22
y .045
4.19
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 (+)
INTERESTlPEN PAID (-)
AMOUNT PAID
11-28-2011 CD015265 .00 4.19
TOTAL TAX PAYMENT 4.19
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .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.
C/~/