HomeMy WebLinkAbout02-03-124j pennsyLvania ~~
BNHERITANCE TAXDDIVISIONL TAXES APPRA,7~~~~i.iklsL~~~DRCDISALLOWANCE DEPARTMENT OF REVENUE
PD BOX 280601 OF DE ~a7ON ~., AMD ;~S~~SMENT OF TAX ON REV-1548 EX AFP c12-11)
HARRISBURG PA 17128-0601 MT'L~HEL"~ br2`l"RUST ASSETS
A 02-06-2012
!_tlla C ~ ~ '3 ~~ ~ E OF COULTER LOIS C
DATE OF DEATH 11-22-2011
FILE NUMBER 21 11-1364
C,I-ERK Q~ C LINTY CUMBERLAND
QRP~~S (,~f~~~N/DC 210-26-2037
BARBARA J KAUFFMAN ~)MRF~1.;~~1~'} ~;(;A(~ 11181082
6214 CHARING CROSS APPEAL BY DATE:04-06-2012
MECHANICSBURG PA 17050-5205 (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 ~1 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:000LTER LOIS C DATE OF DEATH:11-22-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-1364 S.S/D.C. NO.: 210-26-2037 ACN: 11181082
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: FULTON BANK NA ACCOUNT NO.: 022-0327441
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST CX)TIME CERTIFICATE
DATE ESTABLISHED 06-16-2009
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
24,215.47
X 0.500
12,107.74
- .00
12,107.74
x .045
544.85
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 C-)
AMOUNT PAID
12-21-2011 CD015382 27.24 517.61
TOTAL TAX PAYMENT 544.85
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* 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. ;~(L