HomeMy WebLinkAbout11-23-11 (2)E OF INHERITANCE TAX Pe n n sy wa rn a r
NOTIC DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ;- -,- ;ApP~tA'1S£MENT, ALLOWANCE OR DISALLOWANCE REV-1548 EX AFP C12-10)
INHERITANCE TAX DIVISION
PO BoX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 1T128-0601 JOINTLY HELD OR TRUST ASSETS
DATE 11-14-2011
ESTATE OF BERNARD SAMUEL J
- DATE OF DEATH 08-26-2011
FILE NUMBER 21 11-1015
COUNTY CUMBERLAND
- SSN/DC 164-30-4108
STEVEN S BER~ARD ACN 11.160810
343 N HANOVER S APPEAL BY DATE:O1-13-2012
CARL ISLE PA 17013-1928 (See reverse side under Objections)
Amount Reaitted~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ', '~ RETAIN LOWER PORTION FOR YOUR RECORDS t-~
REV-1548 EX AFP C12-10)-----------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND,' ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATES 11-14-2011
ESTATE OF:BERNARD
FILE NO.: 21 11-101
TAX RETURN
SAMUEL J DATE OF DEATH:08-26-2011 COUNTY:CUMBERLAND
S.S/D.C. NO.: 164-30-4108
ACN: 11160810
. (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTIO~J: MEMBERS 1ST FCU ACCOUNT NO.: 7836-11
TYPE OF ACCOUNT: (',)SAVINGS CX) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 09-~8-1981
' 20,655.78 NOTE: TO ENSURE PROPER CREDIT TO
,
Account Balance 166
0 YOUR ACCOUNT, SUBMIT THE
Percent Taxable X .
3,442.70 UPPER PORTION OF THIS NOTICE
Amount Subject to Taic .00 WITH YOUR TAX PAYMENT TO THE
Debts and Deductions', 3,442.70 REGISTER OF WILLS AT THE
Taxable Amount .045 ABOVE ADDRESS. MAKE CHECK
Tax Rate x _
154.92 OR MONEY ORDER PAYABLE T0:
Tax Due "REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT REC IPT DISCOUNT (+) AMOUNT PAID
DATE NU ~BER INTEREST/PEN PAID C-)
09-26-2011 CDO1 001 7.75 147.17
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
154.92
.00
.00
.00
~_
* IF PAID AFTER THIS D14TE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFL~CTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF .HIS FORM FOR INSTRUCTIONS.