HomeMy WebLinkAbout01-03-12 (2)BUREAU OF INDIVIDUAL TAX'E~ - ~~t NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION AF~'~t~"YSEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 _ OF' b~DUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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DONALD S M~L~'1"''F~', ;.,r,1-., ,-~r,, i='i~
5 CLEMSON DR
CAMP HILL PA 17011-7619
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Pennsylvania ;
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-lll
DATE 01-03-2012
ESTATE DF MATKOVICH KATHLEEN P
DATE OF DEATH 10-24-2011
FILE NUMBER 21 11-1310
CDUNTY CUMBERLAND
SSN/DC 156-28-15b9
ACN 11174010
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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REY-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:MATKOYICH KATHLEEN P DATE OF DEATH:10-24-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-1310 S.S/D.C. NO.: 156-28-1569 ACN: 11174010
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 116947-00
TYPE OF ACCOUNT: CX)SAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 09-29-1990
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
7,377.29
X 0.166
1,229.57
- .00
1,224.57
x .045
55.33
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 (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
12-01-2011 CD015301 2.77 55.33
TOTAL TAX PAYMENT 58.10
BALANCE OF TAX DUE 2.77CR
INTEREST AND PEN. .00
TOTAL DUE 2.77CR
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCRJ, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ()Q