HomeMy WebLinkAbout04-23-12~-,
BUREAU OF INDIVIDUAL TAXES ~'~{,~ i~~ ` N(~-T~'1~E(~F INHERITANCE TAX
INHERITANCE TAX DIVISION f ~}PpRAISEME~~~(ALLOWANCE OR DISALLOWANCE
PO BOX 280601 (-'i~ Y1F' DEDUCTbO~Sr` ANII ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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Pennsylvania ~ ~~ ~;~
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-11) - ~-
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KELLY C GUSTAFSON CUP~BERL.Ar~lr~ CV , {)r~
26 MIRAMICHI TRL
MORGANTOWN WV 26508-2928
ESTATE OF CALVERT JOAN S
DATE OF DEATH 02-02-2012
FILE NUMBER 21 12-0167
COUNTY CUMBERLAND
SSN/DC
ACN 12110843
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 YDUR RECORDS E~
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:CALVERT JOAN S DATE OF DEATH:02-02-2012 COUNTY:CUMBERLAND
FILE NO.: 21 12-0167 S.S/D.C. NO.: ACN: 12110843
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 341520-00
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 10-17-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
3,686.60
X 0.500
1,843.30
- .00
1,843.30
x 045
82.95
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-)
PAYMENT MUST BE MADE BY 11-03-2012*.
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."
AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 82.95
INTEREST AND PEN. .00
TOTAL DUE 82.95
~ 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.