HomeMy WebLinkAbout02-18-11''~ '`~,~"~ ^'`'-I'r~'~ ~~ NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TA~t~~~'_' ;~ `_ "~p `ISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION .:- -, r ~-, ~- ;~ ° t
PO BOX 280601 ~~ ~ -. ,_ ,0~ DUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
n r-~i~r nr
l~~_~~r~ ~.r.
..
JAMIE
1011 NORTH WEST ST
CARLISLE PA 17013
n i
ennsylvania ~;` ~~
P
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
DATE 02-21-2011
ESTATE OF BERNHEIMER MARTIN
DATE OF DEATH 03-10-2010
FILE NUMBER 21 10-0348
COUNTY CUMBERLAND
SSN/DC 265-51-6656
ACN 10117926
APPEAL BY DATE:04-22-2011
(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"
REV-1548 EX AFP C12-10)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 02-21-2011
ESTATE OF:BERNHEIMER MARTIN DATE OF DEATH:03-10-2010 COUNITY:CUMBERLAND
FILE NO.: 21 10-0348 S.S/D.C. NO.: 265-51-665b
A,CN : 10117926
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 116223-03
TYPE OF ACCOUNT: CX)SAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 03-22-2007
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
962.01
X 0.166
160.34
- .00
160.34
.00
.00
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT,, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TA)C PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS.. MAKE CHECK
OR MONEY ORDf.R PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
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" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.