HomeMy WebLinkAbout11-23-11 (4)BUREAU OF INDIVIDUAL TAXES `NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAI'SErF~NT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCI`IONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
`~
STEVEN R BROWN'
921 BIG SPRING RD
SHIPPENSBURG PA 17257-9753
Pennsylvania ~
DEPARTMENT OF REVENUE
REY-1548 EX AFP (12-10)
DATE 11-14-2011
ESTATE OF BROWN GILBERT S
DATE OF DEATH 08-27-2011
FILE NUMBER 21 11-1114
COUNTY CUMBERLAND
SSN/DC 011-20-1001
ACN 11161690
APPEAL BY DATE:Oi-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 LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1548 EX AFP (12-10)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 11-14-2011
ESTATE OF:BROWN
GILBERT S DATE OF DEATH:08-27-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-1114 S.S/D.C. NO.: 011-20-1001
ACN: 11161690
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NOS.: 347503-05
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST ( )TIME CIERTIFICATE
DATE ESTABLISHED 03-12-2009
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
reY roFnrrc.
27b,315.13
X 0.500
138,157.57
- 10,073.31
128,084.26
Y .045
5,763.79
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."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
10-13-2011 CD015090 279.79 5,315.97
PAYMENT MUST BE MADE BY 05-28-2012*.
TOTAL TAX PAYMENT 5,595.76
BALANCE OF TAX DUE 168.03
INTEREST AND PEN. .00
TOTAL DUE 168.03
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.