HomeMy WebLinkAbout04-23-12 (7)_~.
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION y;,-r.;. `NO#I<fi~ ~ INHERITANCE TAX
fi~l~~#~R~i¢$F
~1 ~1~>f ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~
OF DEDIYCT~AIdS`
~JAND
HARRISBURG PA 17128-0601 ;
ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
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Pennsylvania , ~.
DEPARTMENT OF REVENUE
REY-1546 EX AFP (12-11)
+1 ~.• ,~,~ DATE 04-23-2012
CCE~K n
CtI~~~C~L,~u~,l? CO , PA
MARTIN L HAVERSTOCK
3815 MOUNTAIN VEW RD
MECHANICSBURG PA 17050-2131
ESTATE OF HAVERSTOCK MARTIN L
DATE OF DEATH 07-24-2010
FILE NUMBER 21 10-1003
COUNTY CUMBERLAND
SSN/DC
ACN 11135291
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 ~'1 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: 04-23-2012
ESTATE OF:HAVERSTOCK MARTIN L DATE OF DEATH:07-24-2010 COUNTY:CUMBERLAND
FILE NO.: 21 10-1003 S.S/D.C. NO.: ACN: 11135291
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: CITIZENS BANK OF PENNSYLVANIA ACCOUNT NO.: 6244729973
TYPE OF ACCOUNT: C )SAVINGS ( ) CHECKING ( )TRUST (X)TIME CERTIFICATE
DATE ESTABLISHED 09-16-2004
Account Balance 114,033.77 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 19,006.01 UPPER PORTION OF THIS NOTICE
Debts and Deductions - 00
Taxable Amount •
19
006
01 WITH YOUR TAX PAYMENT TO THE
Tax Rate ,
. REGISTER OF WILLS AT THE
x
Tax Due 15 ABOVE ADDRESS. MAKE CHECK
2,850.90 OR MONEY ORDER PAYABLE T0:
TAX CREDITS
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
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 2,850.90
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 87,20
TOTAL DUE 2,938.10
* 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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