HomeMy WebLinkAbout02-10-12f~~"(( ~y pennsyLvania ~ ~'
BUREAU OF INDIVIDUAL TAXES t!i.C~~rp~fit~N~i„~R~ANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRA M,fNT7 yALLOW/~;iu ~ OR DISALLOWANCE
PO BOX 280601 OF DE~I~-0NS~,' 74ND~ASSMENT OF TAX ON REV-1548 EX AFP C12-11)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
"~~~2~~$ 10 ~'i1~-t~ 02-13-2012
ESTATE OF BURTNER RAYMOND H
DATE OF DEATH 03-08-2011
C~E~K V~ FILE NUMBER 21 11-0385
O~f..~~ S ~~~~~'DUNTY CUMBERLAND
ANN B TRAVIS C'«~~~'~~{ '~~~`` {'~ A~j /DC 11118378918
4158 CARLISLE ROAD APPEAL BY DATE:04-13-2012
GARDNERS PA 17324 (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: 02-13-2012
ESTATE OF:BURTNER RAYMOND H DATE OF DEATH:03-08-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-0385 S.S/D.C. NO.: 199-07-6418
ACN: 11118378
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 4949-00
TYPE OF ACCOUNT: CX)SAVINGS ( ) CHECKING ( }TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 10-28-1959
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
7,216.71
X 0.500
3,608.36
- .00
3,608.36
Y . 045
162.38
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 TD:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTERESTIPEN PAID (-)
AMOUNT PAID
INTEREST IS CHARGED THROUGH 02-21-2012
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 162.38
INTEREST AND PEN. 1.00
TOTAL DUE 163.38
~ 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.