HomeMy WebLinkAbout05-04-12 (2)~r l i )r .i'~ ~ i~~~.,rMQ1fICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~. ~~~ APPR/~I~ ENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~~
PO BOX 280601 jiCi'-1~~~'" 0f' D£[Hf~~IONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-a546 EX AFP (12-11)
"~ j ~'Y -~} f.A ( t ; 4v DATE 05-07-2012
CtER~~ G~
rr QRPHA,N`S !O~1~T
BRIDGETTE R THOM --
1242 BLACK GAP RD
FAYETTEVILLE PA 17222-9785
ESTATE OF SINGER PAULINE
DATE OF DEATH 01-04-2012
FILE NUMBER 21 12-0128
COUNTY CUMBERLAND
SSN/DC 194-28-9359
ACN 12104588
APPEAL BY DATE:07-06-2012
(See reverse side under Objections)
Amount Remitted ~-1
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
M
CUT ALONG THIS LINE ~• 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: 05-07-2012
ESTATE OF:SINGER PAULINE M DATE OF DEATH:O1-04-2012 COUNTY:CUMBERLAND
FILE NO.: 21 12-0128 S.S/D.C. NO.: 194-28-9359
ACN: 12104588
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO.: 103000047
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 01-05-1998
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAV f DCTITTC.
1,664.76
X 0.500
832.38
- .00
832.38
y .045
37.46
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 C+)
INTEREST/PEN PAID (-) AMOUNT PAID
01-24-2012 CD015522 1.87 35.59
TDTAL TAX PAYMENT 37.46
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" CCR), YOU MAY BE DUE A REFUND.
SEE REYERSE SIDE OF THIS FORM FOR INSTRUCTIONS.