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HomeMy WebLinkAbout06-15-12BUREAU OF INDIVIDUAL TAXES"FE•``!~~"~ .'rf i { a~~`(~•C (~'~~TICE OF INHERITANCE TAX 4 `'"' A i ENT, ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIVISION p PO BOX 260601 (1~11Vf%i oF'_~'~~Il~TIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17126-0601 ~ iJlSINTLY HELD OR TRUST ASSETS rryyff~''~~+,//N ~ 1~1~~~ ~rV~TI! L O I S A FAI~i~N?'L'~~..AND ~., PA 263 W SOUTH STREET CARLISLE PA 17013 Pennsylvania ~~' ~~ DEPARTMENT OF REVENUE REV ••1548 EX AFP (12-11) DATE Ob-18-2012 ESTATE OF FARRELL JAMES K DATE OF DEATH 07-01-2011 FILE NUMBER 21 11-1000 COUNTY CUMBERLAND SSN/DC ACN 11148494 APPEAL BY DATE:08-17-2012 (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 ~ 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: Ob-18-2012 ESTATE OF: FARRELL JAMES K DATE OF DEATH:07-O1-2011 COUMTY:CUMBERLAND FILE NO.: 21 11-1000 S.S/D.C. NO.: ACN: 11148494 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 319710-42 TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING C )TRUST C)UTIME CERTIFICATE DATE ESTABLISHED 03-31-2009 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 1b,155.57 X 0.166 2,692.65 - .00 2,692.65 x .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 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 FOR INSTRUCTIONS. ~~