HomeMy WebLinkAbout01-03-12 (3)~-', '' NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXE9i_ I ~'
INHERITANCE TAX DIVISION APPRAE-SEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF~iD~pUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
TERESA L SFF/#IV~ER~r('I,~")~ (,4) PA
23 EDGEWOOD DR
MECHANICSBURG PA 17055
pennsylvania .~
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-11)
DATE 01-03-2012
ESTATE DF NAVRATIL NADA M
DATE OF DEATH 01-14-2011
FILE NUMBER 21 11-0359
COUNTY CUMBERLAND
SSN/DC 209-12-5368
ACN 11105343
APPEAL BY DATE:03-03-2012
(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 '~""
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REV-1548 EX AFP C12-11~
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 01-03-2012
ESTATE OF:NAVRATIL NADA M DATE OF DEATH:O1-14-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-0359 S~•
TAX RETURN WAS: CX)
FINANCIAL INSTITUTION: MEMBERS
TYPE DF ACCOUNT: ( )SAVINGS
DATE ESTABLISHED 09-08-1984
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
i/D.C. NO.: 209-12-53b8 ACN: 11105343
ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
1ST FCU ACCOUNT NO.: 40676-42
C ) CHECKING C )TRUST CX)TIME CERTIFICATE
10,045.50 NOTE:
X 0.500
5,022.75
- .00
5,022.75
Y .045
226.02
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 C-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 01-11-2012
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 226.02
INTEREST AND PEN. 1.65
TOTAL DUE 227.67
a 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.