HomeMy WebLinkAbout05-22-12 (3)f' f'~,~~!~'~. ~ QjdCE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ,~F~..~.,... ;,~ , r} ~"
INHERITANCE TAX DIVISION ARPRA~~U E NT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~E ! OF~.DEbUCQ'IDNS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ~ ~'JQ7~l7LY HELD OR TRUST ASSETS
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LOIS A FARR~I~,~~r;~ bv,) ~; ), ~,r
263 W SOUTH ST
CARLISLE PA 17013-2825
Pennsylvania r-:
DEPARTMENT OF REVENUE
REV-1548 EX AFP (1.2-11)
DATE 05-21-2012
ESTATE OF FARRELL JAMES K
DATE OF DEATH 07-01-2011
FILE NUMBER 21 11-1000
COUNTY CUMBERLAND
SSN/DC 297-14-5377
ACN 12120160
APPEAL BY DATE:07-20-2012
(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 FDR YOUR RECORDS E'er
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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: 05-21-2012
ESTATE OF:FARRELL JAMES K DATE OF DEATH:07-O1-2011
FILE NO.: 21 11-1000 S.S/D.C. NO.: 297-14-5377
COUNTY:CUMBERLAND
ACN: 12120160
TAX RETURN WAS: CX) ACCEPTED AS FILED ( J CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK
ACCOUNT NO.: 4000036224
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST CX)TIME CERTIFICATE
DATE ESTABLISHED 01-06-2010
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
13,582.32
X 0.083
1,131.81
- .00
1,131.81
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 WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
TDTAL 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 FOR INSTRUCTIONS. !,~1
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