HomeMy WebLinkAbout06-22-12BUREAU OF INDIVIDUAL TAXES f /1 !"~'? "~~.y '~~ 2C~ OF INHERITANCE TAX
INHERITANCE TAX DIVISION i~[_l.+U~ w'-`~~~!R~~ ~'fi, ALLOWANCE OR DISALLOWANCE
PD BOX 280601 ~ ^ ~ " ,"bF'`'b Q ONS, AND ASSESSMENT OF TAX DN
HARRISBURG PA 17128-0601 "~-l.x~~'~-~' ~-~' "j `r~TLY HELD OR TRUST ASSETS
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CORAL D DELLAi` ^ '~ lw., ~?~
2115 CREEK HILL RD
LANCASTER PA 17601-5703
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DEPARTMENT OF REVENUE _
REY-1548 EX AFP C12-11)
DATE 06-25-2012
ESTATE OF DELLAFIORA PHYLLIS R
DATE OF DEATH 03-20-2012
FILE NUMBER a' - l ~ ' CSZ1~Uy
COUNTY CUMBERLAND
SSN/DC
ACN 12123756
APPEAL BY DATE:08-24-2012
(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 F~
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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: 06-25-2012
ESTATE OF:DELLAFIORA
FILE NO.:
PHYLLIS R DATE OF DEATH:03-20-2012 COUNTY:CUMBERLAND
S.S/D.C. NO.:
ACN: 1212375b
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 47426-00
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 01-29-1985
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
6,692.87
X 0.500
3,346.44
- .00
3,346.44
x .045
150.59
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-)
AMDUNT PAID
PAYMENT MUST BE MADE BY 12-21-2012*.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 150.59
INTEREST AND PEN. .00
TOTAL DUE 150.59
* 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.
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