HomeMy WebLinkAbout10-07-11BUREAU OF INDIVIDUAL ~EJ:: r .
INHERITANCE TAX DIVISION ~ r ~ ~ t ,`~~ "' NOTICE OF INHERITANCE TAX
PO BOX 280601 ~ ~- ~••.-- _ i;: Y1P~RAISEMENT, ALLOWANCE OR DISALLOWANCE
HARRISBURG PA 17128-0601 4vf y~ ~ '~` '`D~'JDEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
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Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
~:.` +Jtsi --~j ~"~~ ~jv DATE
10-03-2011
ESTATE OF HOCH
C~t~'~ (~_ DATE OF DEATH 03-04-2011 DANIEL W
~~f~Fii~,i~J'C ~~~ ~~,~ FILE NUMBER a~ _ I (_ j~
rM,f ,,,. COUNTY CUMBERLAND
MICHAEL D ~~~'~i~i~~;'-r,'•:I~ r:!?, {?;~ SSN/DC
333 6TH ST ACN 161-32-4395
NORTHUMBERLAND 11158190
PA 17857-1438 APPEAL BY DATE:12-02-2011
(See reverse side under Objechions)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE y RETAIN LOWER PORTION FOR YOUR RECORDS ~
REY-1548 EX AFP C12-107------- -'---------------
-------------------------- _______
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 10-03-2011
ESTATE OF:HOCH
DANIEL W DATE OF DEATH:03-04-2011
FILE NO.: COUNTY:CUMBERLAND
S.S/D.C. NO.: 161-32-4395
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED ACN: 11158190
FINANCIAL INSTITUTION: WELLS FARGO INT OR TRUST ASSET INFORMATION
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST ACCOUNT NO.: 1010049419489
DATE ESTABLISHED 02-25-2002 C )TIME CERTIFICATE
Account Balance
Percent Taxable X .00 NOTE: TO ENSURE PROPER CREDIT TO
Amount Subject to Tax 0.500 YOUR ACCOUNT, SUBMIT THE
Debts and Deductions - '00 UPPER PORTION OF THIS NOTICE
Taxable Amount '00 WITH YOUR TAX PAYMENT TO THE
Tax Rate .00 REGISTER OF WILLS AT THE
Tax Due x 00
.00 ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
TAX CREDITS: "REGISTER OF WILLS, AGENT.~~
PAYMENT RECEIPT
DATE NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX PAYMENT
BALANCE OF TAX DUE •00
INTEREST AND PEN. •00
TOTAL DUE •00
.00
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATIDN OF
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FDRM FOR INSTRUCTIONS. ADDITIONAL INTEREST.
fl~~,r'" ~ ~'_ r sue! ~, ~
BUREAU OF INDIYIDU u~~,y
INHERITANCE TAX DIVISI t•~ €~' (, ,1 r ~~•
PO BOX 280601 ! ; n NOTICE OF INHERIT
HARRISBURG +'~ ``' "~ APPRAISEMENT ANCE TAX
PA 17128-0601 -y~, OF DEDUCTIONS,AANDwANCE OR DISALLpWANCE
~: ..
r, ~~ "" _ JOINTLY ASSESSMENT OF TAX ON
~- ' f ~', ; +^'? ri ,a HELD OR TRUST ASSETS
f ~ a : ~!
C~F~~ n~
C~~i~ ~p~'~,~1~~+y r'~~;cnT
MICHAEL u~t ~`''° ` < <~ h~,
D HOCH
333 6TH STREET
NORTHUMBERLAND pq 17857
Pennsylvania ~
DEPARTMENT OF REVENUE
REy-1548 IX AFP Q2_30)
DATE
ESTATE OF 10-03"2011
DATE OF DEATH HOCH
FILE NUMBER 03-04-2011 DANIEL W
COUNTY CUMBERLAND
SSN/DC
ACN 161-32-43'95
APPEAL 11158191
BY DATE:12-0$-2011
(See reverse side under OVije~~ns)
Amount Remitted
MAKE CHECK PAYABLE AND
REGISTER OF REMIT PAYMENT T0:
1 COURTHOUSEWILLS
CARLISLE SQUARE
CUT ALONG PA 17013
THIS LINE y
REV-1548 EX AFP - _____ RETAIN WE
C12-j,0-j' -___ LO R PORTION FOR YOUR
NOTICE OF INHERITANCE TAX ---_____ RECORDS •..
DEDUCTIONS, AND ASSESSMENTAPPRAISEMENT -" " _____________
OF TAX ON JOINTLYWANCE OR DISALLOWANCE Op
HELD OR TRUST ASSETS
ESTATE OF:HOCH
DANIEL DATE:
DATE 10- 3` 011
FILE W OF DEATH:03-04-
NO.; 2011
S.S/D.C, NO,: COUNTY;CUMBE~ R=A~
TAX RETURN WqS; 161-32-4395
CX) ACCEPTED ACN:
AS FILED ( ) CHANGED 11158191
FINANCIAL INSTITUTION: JOINT OR TRUST
TYPE OF WELLS FARGO ASSET INFORMATION
ACCOUNT: C )SAVINGS CX) CHECKING
DATE ESTABLISHED ACCOUNT NO.: 1010049
03-05-2002 ~ )TRUST 419612
~ )TIME CERTIFICATE
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER
X .00
0.166
- .00
.00
.00
.045
.00
DISCOUNT (+)
INTEREST/pEN pAID ~_~
NOTE: TO ENSURE PROpEk
YOUR ACCOUNT CREDIT TO
UPPER ppRTION SUBMIT THE
WITH YOUR U(~ THIS NOTICE
TAX PAYMENT TO THE
REGISTER OF WILL''',S AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER P!gYABLE T0:
"REGISTER OF WILLS, AGENT,~~
AMOUNT pAID
TOTAL TAX p
BALANCE AYMENT
OF TAX DUE
INTEREST AND PEN.
~TAL DUE i
IF PAID AFTER THIS DATE,
IF TOTAL DUE IS REFLECTED SEE REVERSE FOR
SEE REVERSE SIDE OF THIS FORMAFDCREDIT~~ CALCULATION OF ADDITIONAL INTEREST,
R INSTRUCTIONS YOU MAY BE DUE A REFUND.
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