HomeMy WebLinkAbout04-23-12 (2)BUREAU OF INDIVIDUAL TAXES ~~n{ \'r;' ~ ~-~~~r.ND~7ICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION 'APPR/~~JS~QENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 I ~ ~ - ~OF' DE~IUtI~IONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
Pennsylvania `, ~
DEPARTMENT OF REVENUE '
REV-1548 EX AFP (12-1ll
" l ~ ,•,1 ;; `~ ~f ~ ~ ~ C+ DATE 04-23-2012
CLERK ~'r
ORPHAN'S ~UP~
TERRI L LONG C~}M~~R` ~ti~~ ~n . PA
2048 WEXFORD RD
PALMYRA PA 17078-9253
ESTATE OF LONG WAYNE E
DATE OF DEATH 01-01-2012
FILE NUMBER 21 12-0325
COUNTY CUMBERLAND
SSN/DC
ACN 12110858
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
DATEe nr._7z_~n,o
ESTATE OF:LONG
WAYNE
E DATE OF DEATH:OI-O1-2012
COUNTY:CUMBERLAND
FILE NO.: 21 12-0325 S.S/D.C. NO.: ACN: 12110858
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO.: 4410641501
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 07-21-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
25,026.74
X 0.166
4,171.21
- .00
4,171.21
x .045
187.70
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
03-19-2012
04-16-2012 CD015724
SBADJUST 9.38
.00 178.31
.O1
TOTAL TAX PAYMENT 187.70
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ 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.