HomeMy WebLinkAbout11-23-11BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
~,_~,..,.,~.NOTICE.OF INHERITANCE TAX
TAXES AP~RAISEHENT pil(dWANGE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
CATHERINE M GONTKOVIC
161 BRINDLE RD
r ~,-
~. _. r~
MECHANICSBURG PA 17055-9515
pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
DATE 11-14-2011
ESTATE OF MARTEL WILFRED J
DATE OF DEATH 07-31-2010
FILE NUMBER CUMBERLAND
COUNTY
SSN/DC 003-09-9580
ACN 101697b2
APPEAL BY DATE:O1-13-2012
(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 L I NE ~ _ _RETAIN _LOWER _PORTI ON -FOR _YOUR _RECORDS _ _ ~_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
REV-1548 EX AFP C12-10)
NOTUCTIONSINANDIASSESSMENTAOFRTAXEONNJOINTLYWHELD OR TRUSTLASSETS OF
DED DATE: 11-14-2011
COUNTY:CUMBERLAND
ESTATE OF:MARTEL WILFRED J DATE OF DEATH:07-31-2010
ACN: lO1b9762
FILE NO.: 21 10-1029 S.S/D.C. NO.: 003-09-9580
TAX RETURN WAS: tX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
sCCOUNT NO.: 000005005799133
FINANCIAL INSTITUTION: PNC BANK NA
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING ( )TRUST
DATE ESTABLISHED 08-05-2008
Account Balance
Percent Taxable
Amount Sub]ect to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
DISCOUNT C+)
INTEREST/PEN PAID C-)
( )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 .00
INTEREST IS CHARGED THROUGH 11-22-2011 BALANCE OF TAX DUE 24.91
AT THE RATES APPLICABLE AS OUTLINED ON THE INTEREST AND PEN. .42
REVERSE SIDE OF THIS FORM TOTAL DUE 25.33
* IF TOTALADUERISHREFLECTEDSAS AEA'CREDITORCCR)CUYOUIMAYOBEADUETAOREFUNDTEREST. ~
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
1,107.06
X 0.500
553.53
_ .00
553.53
.045
24.91