HomeMy WebLinkAbout11-23-11BUREAU OF INDIVIDUAL TAXES ,'
INHERITANCE TAX DIVISION NOTI~~ OF INHERITANCE TAX
PO BOX 280601 APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
HARRISBURG PA 17128-0601 OF DEDUCTLONS,,_fAND ASSESSMENT OF TAX OWN
JOINTLY HELD OR TRUST ASSETS
BETTY L BERNARD
343 N HANOVER ST
CARLISL
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E PA 17013-1928
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DEPARTMENT OF REVENUE ~ •
REV-1548 EX AFP C12-10)
DATE 11-14-2011
ESTATE OF BERNARD
DATE OF DEATH OS-26-2011 SAMUEL J
FILE NUMBER 21 11-1015
COUNTY CUMBERLAND
SSN/DC 164-30-4108
ACN 11160809
APPEAL BY ]DATE:O1-13-2012
(See reverse side under Objections)
Amount Remfttedi
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 1'7013
CUT ALONG THIS LINE y
RETAIN LOWER PORTION FOR YOUR RECORDS E~
REV-1548 EX AFP C12-1'0~------' -------_____ _________
DEDUCTIONSINAND~ASSESSMENTAOFRTAXEONNJOI
ALLOWANCE OR DISALLOWANCE OF
NTLY HELD OR TRUST ASSETS
ESTATE OF:BERNARD DATE: 11-14-2011
SAMUEL J DATE OF DEATH:08-26-2011
FILE NO.: COUNTY:CUMBE_
21 11-1015 S.S/D.C.
NO.: 164-30-4108
TAX RETURN WAS: (X) ACCEPTED AS FILED ACN:
C ) CHANGED 11160809
FINANCIAL INSTITUTION: MEMBERS 1ST ~U OR TRUST ASSET INFORMATION
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST ACCOUNT NO.:
DATE ESTABLISHED 09-08-1981 7836-11
C )TIME CERTIFICATE
Account Balance
Percent Taxable 20,655.78
X NOTE: TO ENSURE PROPER CREDIT TO
Amount Subject to Tax 0.166 YOUR ACCOUNT, SUBMIT THE
Debts and Deductions - 3,442.70
Taxable Amount
.00 UPPER' PORTION OF THIS NOTICE
Tax Rate 3,442.70 WITH YOUR TAX PAYMENT TO THE
Tax Due ~ 00 REGISTER OF WILLS AT THE
.00 ABOVE ADDRESS. MAKE CHECK
TAX CREDITS: OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT
DATE NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID I
TOTAL TAX PAYMENT
BALANCE OF TAX DUE •00
INTEREST AND PEN, .00
TOTAL DUE •00
.00
* IF TOTALADUERISHREFLECTED AS q
SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
SEE REVERSE SIDE OF THIS FORM FORRINSTRUCTIONS.
YOU MAY BE DUE A REFUND.
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