HomeMy WebLinkAbout04-02-12i-rr~n~`~,`~r~ ,1f[ '\[[ ((fi~r
BUREAU OF INDIVIDUAL TAXES ~``~`'~'' ~~TI`GE[@~BCId,yERITANCE TAX
INHERITANCE TAX DIVISION A~~~SNfi;; i/4~}ILp41ANCE OR DISALLOWANCE
PO BOX 280601 0 DUC72Q1V~5,''ANb'JASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
Pennsylvania ~~ ~,
DEPARTMENT OF REVENUE
REV-1548 IX AFP (12-11)
~°~- ~~~~~~ 'L ~i c };ATE 04-02-2012
ESTATE OF SETLOCK EVELYN A
~, r,., DATE OF DEATH 04-14-2011
C~-~~~~ v~ FILE NUMBER 21 11-0499
~f~~H^-,''+I~~ ~;`~; ',~T COUNTY CUMBERLAND
CARRYL WALTER ~~'`~~~~~"~`~'r~' ~ ~~~%..'r~'~ SSN/DC
ACN 11129323
253 KEY WEST BLVD APPEAL BY DATE:06-O1-2012
C A R L I S L E P A 17 015 (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: 04-02-2012
ESTATE OF:SETLOCK EVELYN A DATE OF DEATH:04-14-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-0499 S.S/D.C. NO.: ACN: 11129323
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 233896-44
TYPE OF ACCOUNT: ( )SAVINGS ~ ) CHECKING C )TRUST CX)TIME CERTIFICATE
DATE ESTABLISHED 01-03-2011
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
10,994.61
X 0.500
5,497.31
- .00
5,497.31
x .045
247.38
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
-•~~-•~•--+~ +.~ vn,+rtVCU 11'1KVUbY1 U4-1U-1012
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 247.38
INTEREST AND PEN. 1.76
TOTAL DUE 249.14
* 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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