HomeMy WebLinkAbout04-27-11BUREAU OF I ZV;Irl{JA! TA)4E '~'^ ~1~ NOTICE OF INHERITANCE TAX Pennsylvania i~
INHERITANCE TA'X~DYV3SION ~ ~~ ~^ APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
Po BOX 280601 _- ~. I ', ~~ OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP c12-lB)
HARRISBURG PA 1~1~P$-0601 ` ' JOINTLY HELD OR TRUST ASSETS
''. ~ ,_ d , . ~ .. U
C7._ r. P,~~" , T
~~ ,; I_,~,~'-, J _~,l)'.~~ ~
124 WOODS DR LOT 9A
MECHANICSBURG PA 17050
DATE 04-25-2011
ESTATE OF KAUTZ PETET A
DATE OF DEATH 09-28-2010
FILE NUMBER 21 11-0215
COUNTY CUMBERLAND
SSN/DC 183-12-4098
ACN 10159391
APPEAL BY DATE:06-24-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILL>
1 COURTHOUSE SQUARE
CARLISLE PA 17[113
CUT ALONG THIS LINE ---- ~ RETAIN LOWER PORTION FOR YOUR RECORDS F~
REV-1548 EX AFP (12-10) ----------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 04-25-2011
ESTATE OF:KAUTZ
PETET A
DATE OF DEATH:09-28-2010 COUNTY:CUMBERLAND
FILE NO.: 21 11-0215 S.S/D.C. NO.: 183-12-4098 ACN: 10159391
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MID PENN BK ACCOUNT NO.: 309002456
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING C )TRUST (X)TIME CERTIFICATE
DATE ESTABLISHED 02-17-2009
Account Balance
Percent Taxable
Amount Subject t0 Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
5,209.76
X 0.500
2,604.88
- .00
2,604.88
x .045
117.22
NOTE: TO EIVSURE 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:
"REG]STER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
02-17-2011 CD014028 .00 117.22
TOTAL TAX PAYMENT 117.22
BALANCE OF T,AX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER THI5 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.