HomeMy WebLinkAbout05-22-12 ~F~~ ' `-~~ ~~~~~ ~
;F Pennsylvania ~~
BUREAU OF INDIVIDUAL ~._
,
TAXES~'-c^ ,
;~,~ NOTICE OF
~.
~ INHERITANCE TAX
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION . `~Ap
RAS/SEMENT, AL
~ LOWANCE OR DISALLOWANCE
REY-1548 EX AFP (12-1ll
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ___ JOINTLY HEL D OR TRUST ASSETS
DATE 05-21-2012
ESTATE OF FARRELL JAMES K
DATE OF DEATH 07-01-2011
Vr, ,,;r FILE NUMBER 21 11-1000
~'~~~ ~ "'~
~ COUNTY CUMBERLAND
~~"-'~` l~i.:.~ ~~ ~
-' "~" ~ SSN/DC 297 - 14 - 5377
LOIS A FARRELL ACN 12120169
263 W SOUTH ST APPEAL BY DATE:07-20-2012
CARLISLE PA 17013-2825 (See reverse side underOhjeetions)
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 (12-11)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLDWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 05-21-2012
ESTATE OF:FARRELL JAMES K DATE OF DEATH:07-O1-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-1000 S.S/D.C. NO.: 247-14-5377
ACN: 12120169
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JDINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO.: 4000038051
TYPE OF ACCOUNT: C )SAVINGS ( ) CHECKING ( )TRUST ( ~ TIME CERTIFICATE
DATE ESTABLISHED D6-21-2010
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
54,372.60
X 0.083
4,530.87
- .00
4,530.87
y .00
.00
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 WILL5, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT 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 INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FDR INSTRUCTIONS.
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