HomeMy WebLinkAbout04-30-12BUREAU OF INDIVIDUAL TAX~~ ~~~? -l•'~ ~'}~NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION - A R SEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 2B0601 ~:_` '~~ 0'F' ~16NUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 . ,-~ JOINTLY HELD OR TRUST ASSETS
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ALISA M N~~'F''~1!1~~' `'~ . i FA
2 THYME CT
MECHANICSBURG PA 17050-3199
Pennsylvania i
DEPARTMENT OF REVENUE ~,
REV-1548 EX AFP (12-11)
DATE 04-30-2012
ESTATE OF WALLACE SHIRLEY A
DATE OF DEATH 02-13-2012
FILE NUMBER ~ ~ - ~~~ -~, ~~~i~
COUNTY CUMBERLAND
SSN/DC 198-30-1216
ACN 12113544
APPEAL BY DATE:06-29-2012
(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 ~
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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: 04-30-2012
ESTATE OF:WALLACE SHIRLEY A DATE OF DEATH:02-13-2012 COUNTY:CUMBERLAND
FILE NO.:
S.S/D.C. NO.: 198-30-1216
ACN: 12113544
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JDINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 246254-11
TYPE OF ACCOUNT: ( )SAVINGS CX) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 06-16-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
1,397.49
X 0.500
698.75
- .00
698.75
x .045
31.44
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
PAYMENT MUST BE MADE BY 11-14-2012*.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 31.44
INTEREST AND PEN. .00
TOTAL DUE 31.44
~ 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. .~}'
~'.