HomeMy WebLinkAbout03-19-12 (2)BUREAU OF INDIVIDUAL TAXES RF~:V7C~~ iCl~l ~OE 'u~` INHERITANCE TAX
INHERITANCE TAX DIVISION ~(~ 1~MEr~}~!,~ QRLLOWANCE OR DISALLOWANCE
PO Box 280601 ' 1~-'.0'I~~l}ETID'IiS`;~lAND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
_-
pennsylvania
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-11)
~'+1L `t"i;t~ ~ ~ f,~'1 ~ ; • ~ .~ uATE 03-19-2012
O~n r,Ag ~+ , t
CLERK Cr
oaFN~~r~~~ ~~~~~
ROSE E FOZEKAS C.UCV~~rt~t...h, ~.! 1,i~.-~ , {~`.1
6043 EDWARD DRIVE
MECHANICSBURG PA 17050
ESTATE OF MILLER ESTHER K
DATE OF DEATH 01-25-2011
FILE NUMBER 21 11-0264
COUNTY CUMBERLAND
SSN/DC 232-60-1516
ACN 11126207
APPEAL BY DATE:05-18-2012
(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: 03-19-2012
ESTATE OF:MILLER ESTHER K DATE OF DEATH:O1-25-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-0264 S.S/D.C. NO.: 232-60-1516
ACN: 11126207
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: M 8~ T BANK ACCOUNT NO.: 15004219415062
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 01-24-2009
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
13,194.23
X 0.500
b,597.12
- .00
6,597.12
Y .045
296.87
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 (-)
AMOUNT PAID
_••-^~~ ~.+ .-,,,•~nv~u ,nrtuuun UJ-C/-LUlL
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 296.87
INTEREST AND PEN. 3.75
TOTAL DUE 300.62
* 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.