HomeMy WebLinkAbout04-23-12 (8)Pennsylvania ~ ,J~:-~
BUREAU OF INDIVIDUAL TAXES /~/~rkW~9~F~~QFi'.~' N ITANCE TAX DEPARTMENT OF REVENUE 1
INHERITANCE TAX DIVISION A xA~emEi~~r~~:a`uLAW~CE OR DISALLOWANCE
PO BOX 280601 OF ~~11'[CT'Z~NS ~'N'~11/>`jSSESSMENT OF TAX ON REV-1548 EX AFP C12-11)
HARRISBURG PA 17128-0601 ~~`-j'Q~~~pgtjti'}{~D.-~p'~ TRUST ASSETS
,:.•r~ ~~,, ~..,, _,• DATE 04-23-2012
~'~~~• r "+ ~.~ f +, ,.• ,,f~TATE OF HAVERSTOCK MARTIN L
DATE OF DEATH 07-24-2010
G,~Et~ FILE NUMBER 21 10-1003
r` COUNTY CUMBERLAND
GF?PHr,~~!'~';~~'~i_!t~~ ssN/DC
MARTIN L HAVERSTOCK c~1w7~kiL~i'~[,; ~,l_), r,1~,ACN 11135293
~~
3815 MOUNTAIN VEW RD APPEAL BY DATE:06-22-2012
M E C H A N I C S B U R G P A 17 0 5 0- 2131 (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: 11135293
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: CITIZENS BANK OF PENNSYLVANIA ACCOUNT NO.: 6247289532
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING C )TRUST CX)TIME CERTIFICATE
DATE ESTABLISHED 09-26-2005
Account Balance 66,792.08 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 11,132.24 UPPER PORTION OF THIS NOTICE
Debts and Deductions - 00
Taxable Amount •
11
132
24 WITH YOUR TAX PAYMENT TO THE
Tax Rate ,
. REGISTER OF WILLS AT THE
x
Tax Due 15 ABOVE ADDRESS. MAKE CHECK
1,669.84 OR MONEY ORDER PAYABLE T0:
TAX CREDITS: "REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 05-01-2012 TOTAL TAX PAYMENT
AT THE RATES APPLICABLE AS OUTLINED ON THE .00
BALANCE OF TAX DUE
REVERSE SIDE OF THIS FORM 1,669.84
INTEREST AND PEN. 51.07
TOTAL DUE 1,720.91
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.