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HomeMy WebLinkAbout08-24-12BUREAU OF INDIVIDUAL TAXES INHERITANCE TA% DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 ({f_U~~nJy,yp~A(S~EIITI ALLOWANCET ORCDISALLOWANCE R[~~(~,Ifff"~"""' ~~°.pOIN~bL~V rNELD OR TRUST ASSETS AX ON Zv12 AUG 24 k;'1 I I ~ 33 !~..i:. . o~~lw;r~ ~ couRT HERMAN L MARTIN, JMBERLAND CO., PA APT 1804 322 N 2ND ST HARRISBURG pA 17101-1311 pennsylvania ~ DEPARTMENT OF REV ENUE REV-1548 EX AFP Q2-lll DATE 0.8-28-2012 MARY ESTATE OF SICKLES DATE OF DEATH 02-27-2011 FILE NUMBER CDUNTY CUMBERLAND SSN/DC ACN 11163911 APPEAL BY DATE:10-27-2012 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 ~-~/ RETAIN LOWER PORTION FOR YOUR RECORDS ~ CUT ALONG THIS LINE REV-1548 EX AFP L12-11) DEDUCTIONSIHANDIASSESSMENTAOFR TAXEONHJOINTLYWHELD DR TRUSTL ASSETS OF DATE: 08-28-2012 MARY DATE OF ESTATE OF: SICKLES FILE NO.: TAX RETURN WAS: DEATH:02-27-2011 COUNTY:CUMBERLAND S.S/D.C. NO.: 174-20-8045 (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET FINANCIAL INSTITUTION: SOVEREIGN BANK TYPE OF ACCOUNT: ( )SAVINGS IX) CHECKING ( )TRUST DATE ESTABLISHED 12-01-2006 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: PAYMENT RECEIPT DATE NUMBER 704.81 X 0.500 352.41 .00 352.41 .15 52.86 DISCOUNT (+1 INTEREST/PEN PAID ~-~ ACM: 11163911 INFORMATION ACCOUNT NO.: 0381204898 ( )TIME CERTIFICATE 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." AMOUNT PAID TOTAL TAX PAYMENT INTEREST IS CHARGED THROUGH 09-05-2012 BALANCE OF TAX DU AT THE RATES APPLICABLE AS OUTLINED ON THE INTEREST AND PEN. REVERSE SIDE OF THIS FORM TOTAL DUE 00 86 23 09 * IF TOTALADUERISNREF LECTEDSAS AEVCRED IT'O'R(CR)CUYOUIMAYOBE ADUETAOREFUNDTEREST. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.