HomeMy WebLinkAbout11-23-11BUREAU OF INDIVIDUAL TAXES _- r~ir NOTICE OF INHERITANCE TAX y
PO BOX 280601
INHERITANCE TAX DIVISION ~ ARPRAI.SEMENT, ALLOWANCE OR DISALLOWANCE Pennsylvania ~: ~~ ~~~
HARRISBURG PA 17128-0601 OF bEDUCTIONS, AND ASSESSMENT OF TAX ON DEPARTMENT OF REVENUE
JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (12-10)
'~ .,, DATE 11-14-2011
'
ESTATE OF METZGER SR
DATE OF DEATH 07-15-2011 JACK G
_ FILE NUMBER 21 11-0839
-~• COUNTY
EMMA G METZGfrR CUMBERLAND
~ SSN/DC
2737 LISBURN RD ACN 178-26-9352
N
11159250
CAMP HILL
PA 17011-8009 APPEAL BY 1)ATE:O1-13-
2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0
:
REGISTER OF WILILS
1 COURTHOUSE SQIJARE
CARLISLE PA 17013
CUT ALONG THIS LINE y RETAIN
REV-1548 EX AFP C12-
0~----- LOWER PORTION FOR YOUR
" -
1! RECORDS ~
------------
NOTICE OF INHERITANCE
DEDUCTIONS, AND ASSESS _
TAX APPRAISEMENT, ALLOWANCE OR
MENT
DISALLOWANCE
OF TAX ON JOINTLY HELD OR
OF
TRUST ASSETS
ESTATE OF:METZGER SR DATE: 11-14-2011
JACK G DATE OF DEATH:07-15-2011
FILE NO.:
21 11-0839 COUNTY:CUMBE~D
S.S/D.C.
NO.: i78_26_9352
TAX RETURN WAS: (X) ACCEPTED AS FILED ACN: 11159250
~ ) CHANGED
INT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK
TYPE OF ACCOUNT: ( )SAVINGS
DATE ESTABLISH NA
AC
5140042942
CX) CHECKING C )T
o
ED 11-30-2010 RUST
)
IME CERTIF
KATE
Account Balance
Percent Taxable
X 5,604.00 NOTE:
TO
Amount Subject to Tax ENSURE PROPER CREDIT TO
0.500
Debts and Deductions - 2,802.00 YOUR ACCOUNT, SUBMIT THE
Taxable Amount
.00 UPPER PORTION OF THIS NOTICE
Tax Rate 2,802.00 WITH YOUR TAX PAYMENT TO THE
Tax Due Y REGISTER OF WILLS AT THE
00
ABOVE ADDRESS.
.00
H
TAX CREDITS: OR MONEY ORDER PAYABLE
TOK
PAYMENT RECEIPT "REGI',;TER OF WILLS, AGENT. ~~
DATE NUMBER DISCOUNT (+)
INTEREST/PEN
PAID (-~ AMOUNT PAID
TOTAL TAX PAYMENT
BALANCE OF TAX DUE •00
INTEREST AND PEN, .00
TOTAL DUE •DO
.00
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
SEE TREVERSEESIDEROFLTHISDFORMAFORRINSTRUCTIONSYOU MAY BE DUE A REFUND.
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