HomeMy WebLinkAbout04-23-12 (9)~;
BUREAU OF INDIVIDUAL TAXES ' °-L'~~• iiQT.~C~,E";D~,~T~~RITANCE TAX
INHERITANCE TAX DIVISION ARP A`,I~~~~~FrM~NT~ a'L44~FANCE OR DISALLDWANCE
PO BOX 280601 OFD ~DBbdCg'I'ONx3, 'AtrII'ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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Pennsylvania ~`~ r
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-11)
~ .:...; ,~3^~ f ~ FAR !~: DATE
;,~ 04-23-2012
ESTATE OF HAVERSTOCK MARTIN L
DATE OF DEATH 07-24-2010
C~-E~~~ nF FILE NUMBER 21 10-1003
C%'n1PI'~.~+f~ir5 ~;f~'(,I~T COUNTY CUMBERLAND
Cl~~~f~~FsLnl"~,) 1.~~, F'r~ SSN/DC
BEVERLY L ESLINGER ACN 11135294
3815 MOUNTAIN VIEW 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 SgUARE
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 O DEATH:07-24-2010 COUNTY:CUMBERLAND
FILE NO.: 21 10-1003 S.S/D.C. NO.: ACN: 11135294
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: CITIZENS BANK OF PENNSYLVANIA ACCOUNT NO.: 6247289532
TYPE OF ACCOUNT: ( )SAVINGS ( ) 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
Amount Subject to Tax .
11,132
24 YOUR ACCOUNT, SUBMIT THE
Debts and Deductions - . UPPER PORTION OF THIS NOTICE
Taxable Amount •00 WITH YOUR TAX PAYMENT TO THE
Tax Rate 11,132.24 REGISTER OF WI LLS AT THE
x
Tax Due 15 ABOVE ADDRESS. MAKE CHECK
1,669.84 OR MONEY ORDER PAYABLE T0:
TAX CREDITS: "REGISTER OF W ILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 05-01-2012 TOTAL TAX PAYMENT
AT THE RATES APPLICABLE AS OUTLINED ON THE
BALANCE OF TAX DUE .00
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 "
"
SEE REVERSE SIDE OF THIS FORM F CREDIT
CCR), YOU MAY BE DUE A
OR INSTRUCTIONS. REFUND.