HomeMy WebLinkAbout03-26-12 (3)~u~C~'~ INHERITANCE TAX Pennsylvania
BUREAU OF INDIVIDUAL TAXES ~f I ~~~ i~-~ :,l ,
INHERITANCE TAX DIVISION "~P'R~ETIE~{~~ LOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
PO BOX 280601 ~EIF,; Dt1C.TI0 ~,`~ND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-11)
HARRISBURG PA 17128-0601 ~'-` '~
JOINTLY HELD OR TRUST ASSETS
ROSEMARIE DORMAN
1397 LOWTHER RD
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CLERw; CF
ORPH.Ai~'S ~0!aR''
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CAMP HILL PA 17011-7535
DATE 03-26-2012
ESTATE OF DORMAN MAX
DATE OF DEATH 01-22-2012
FILE NUMBER 21 12-0184
COUNTY CUMBERLAND
SSN/DC
ACN 12108171
APPEAL BY DATE:05-25-2012
(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: 03-26-2012
ESTATE OF:DORMAN MAX DATE OF DEATH:O1-22-2012 COUNTY:CUMBERLAND
FILE NO.: 21 12-0184 S.S/D.C. NO.: ACN: 12108171
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 215084-00
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 03-09-2002
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
482.99
X 0.166
80.50
- .00
80.50
X .00
.00
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
TOTAL TAX PAYMENT .00
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" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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