HomeMy WebLinkAbout04-13-12 (6)~. ,r~.ea~-c~ F INHERITANCE TAX Pennsylvania ~. ~
BUREAU OF INDIVIDUAL TAXES ~' fy~ ,..., DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION r`i-~'-'~~-AP~_''k~~~~i~MIT ~6iCLOWANCE OR DISALLOWANCE
PO BOX 280601 `1..+~~ ~rry~pl~(Q`T;Q'~19,~ AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-11)
HARRISBURG PA 17128-0601 ~`~Y~"`~'`-~ J'(~tNtL'Y'~HiELD OR TRUST ASSETS
~~,,; &.~~ ~~, ~, DATE 04-16-2012
Li!;L 'Vs'7~ S 3 Fi iL • ~i.~~ ESTATE OF HOERNER JOHN W
DATE OF DEATH 05-10-2011
~~~~~ ~, FILE NUMBER ~ - ~ ~ _~ (l;~~~
COUNTY CUMBERLAND
~i~I~~t~~v ~~C~ ~'~i ~ SSN/DC 201 - 16 - 5197
ERIC W HOERNER CU;~CERI~,~'~~,y~ ~,,`, ~?q ACN 11134250
102 MOOREDALE ROAD APPEAL BY DATE:06-15-2012
CAR 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 F~
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: 04-16-2012
ESTATE OF:HOERNER
JOHN
W
DATE OF DEATH:05-10-2011
COUNTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: 201-16-5197 ACN: 11134250
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 193217-11
TYPE OF ACCOUNT: ( 3SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 01-23-2010
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
779.33
X 0.166
129.89
- .00
129.89
x .045
5.85
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 (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
•~~~~rt~~i to I.nNKIatU IFIKUUGFI U4-L4-ZU1Z
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 5.85
INTEREST AND PEN. .04
TOTAL DUE 5.89
* 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.