HomeMy WebLinkAbout02-13-12OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES Q~P`rl~/`,"'~A ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION i'~-u~-~ ~~~~~ J` s
PO BOX 280601 S~ ~Ir OR _~DHDUQ~~~41(5, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ~ 1~~_'1 ` .. ? '• JOI~J'Tb1t HELD OR TRUST ASSETS
c~12 GCB -3 PM 3~ G~
CLERK ~JF
~PHAN'S COURT
DAWN WETZEL CUA~RFR' ANA CC' , PA
29 KENSINGTON DRIVE
CAMP HILL PA 17011
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 IX AFP C12-11>
DATE 02-06-2012
ESTATE OF DOLBIN ANNA
DATE OF DEATH 02-14-2011
FILE NUMBER ~~ •' ( ~- -U ~(~
COUNTY CUMBERLAND
SSN/DC 194-28-9260
ACN 11115624
APPEAL BY DATE:04-06-2012
(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 •~
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:DOLBIN ANNA DATE OF DEATH:02-14-2011
FILE NO.:
S.S/D.C. NO.: 194-28-9260
COUNTY:CUMBERLAND
ACN: 11115624
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 298319-11
TYPE OF ACCOUNT: ( )SAVINGS CX) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 12-17-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
rnrnrro.
916.00
X 0.500
458.00
- .00
458.00
X .045
20.61
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
INTEREST IS CHARGED THROUGH 02-14-2012
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 20.61
INTEREST AND PEN. .16
TOTAL DUE 20.77
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. n
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. (~~1