HomeMy WebLinkAbout04-23-12 (4)
~" ,f:-.;NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~''
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ..-, i ~ ~,~ ~„ 0 ~ DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 [.., ; ,,:; ~.~ ~ u ~ f ~JOI}JTLY HELD OR TRUST ASSETS
ci~~ti~~~~~ ~.; ~~f;T
iui_, ~LrV'v { ~
v~)., ,
BEVERLY L ESLINGER
3815 MOUNTAIN VIEW RD
MECHANICSBURG PA 17050-2131
pennsyLvania ~:
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-11) ~~
DATE 04-23-2012
ESTATE OF HAVERSTOCK MARTIN L
DATE OF DEATH 07-24-2010
FILE NUMBER 21 10-1003
COUNTY CUMBERLAND
SSN/DC
ACN 11135288
APPEAL BY DATE:06-22-2012
(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 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: 04-23-2012
ESTATE OF:HAVERSTOCK MARTIN L
DATE OF DEATH:07-24-2010 COUNTY:CUMBERLAND
FILE NO.: 21 10-1003 S.S/D.C. NO.: ACN: 11135288
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: CITIZENS BANK OF PENNSYLVANIA ACCOUNT NO.: 6200252134
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING ( TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 07-10-2002
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
3,352.44
X 0.166
558.75
- .00
558.75
X 15
83.81
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
INTEREST IS CHARGED THROUGH 05-01-2012 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 83.81
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 2.56
TOTAL DUE 86.37
* 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 INSTRUCTIDNS.
d.~~