HomeMy WebLinkAbout04-09-12 (2), Pennsylvania ~~~
BUREAU OF INDIVIDUAL TAXES ~`J~•-,-'~~'~ '~TIfCE~~~D~ `LWHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION i ¢PRR'A3$EjMHNT,.".14L1L'aWANCE OR DISALLOWANCE REV-1548 EX AFP (12-11)
PO BOX 280601 bF`~fEVUetrdNS'',` niad ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
~` ~~ _3 ~~" 1DATE 04-09-2012
r ~ . ~:
ESTATE OF CLINE MARILYN A
DATE OF DEATH 04-30-2011
~;~-r 5't ~~ FILE NUMBER 21 11-0603
(^H= ';',''j'~ ~~':I,;~T COUNTY CUMBERLAND
r~ t ;~~_~ Mi) ,v,`), ~?;~, SSN/DC 292-44-1006
ROBERT A CLINE ACN 11132275
525 LAVINA DRIVE APPEAL BY DATE:06-08-2012
MECHANICSBURG PA 17055 (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 ~
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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: 04-09-2012
ESTATE OF:CLINE MARILYN A DATE OF DEATH:04-30-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-0603 S.S/D.C. NO.: 292-44-1006 ACN: 11132275
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 124449-11
TYPE OF ACCOUNT: ( )SAVINGS CX) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 08-19-2002
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
1,001.08 NOTE:
X 0.166
166.85
- .00
166.85
x .00
.00
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
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
a 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 FDR INSTRUCTIONS.