HomeMy WebLinkAbout02-03-12BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
DIANE L MAHONEY
605 VIA CHRIS CT
Ci_ERK 0~
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CUME?~Rl ~~V~ C~? PA
DEBARY FL 32713-5426
Pennsylvania
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-11)
DATE 02-06-2012
ESTATE OF TEZAK JR FRANK J
DATE OF DEATH 11-16-2011
FILE NUMBER 21 11-1333
COUNTY CUMBERLAND
SSN/DC 143-12-9209
ACN 11178995
APPEAL BY DATE:04-06-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TD:
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: 02-06-2012
ESTATE OF:TEZAK JR FRANK J DATE OF DEATH:11-16-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-1333 S.S/D.C. NO.: 193-12-4209 ACN: 11178995
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 266483-00
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 06-17-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
~„~`y,'~IIS NHERITANCE TAX
~~~PI~'ASI~~EM~yy~WANCE OR DISALLOWANCE
~~fj~~`i)FZDIlC7,TON~;b ~ D ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
2~l2 F~6 -3 PN 3- Q6
2,541.48
X 0.16b
423.59
- .00
423.59
x.045
19.06
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+)
INTERESTlPEN PAID (-)
AMOUNT PAID
PAYMENT MUST BE MADE BY 08-17-2012*.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 19.06
INTEREST AND PEN. .00
TOTAL DUE 19.06
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" tCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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