HomeMy WebLinkAbout04-30-12BUREAU OF INDIVIDUAL TAXES ~'~ Inr, ~' "' -'~~yj(~~~ OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~~ ~~~~ ~ bP~F2i1I'S~~tE~~', ALLOWANCE OR DISALLOWANCE
PO BOX 280601 I ~`,` I DF- bEDIF~G~~OJidS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ~ ~ JOINTLY HELD OR TRUST ASSETS
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LOUIS M COLONN/C~JMBEFi~~`a C,)., F'a
500 CRANES GAP RD
CARLISLE PA 17013-9602
Pennsylvania ~ i -
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-1ll
DATE 05-14-2012
ESTATE OF HENRY FERNE V
DATE OF DEATH 09-17-2011
FILE NUMBER 21 11-1076
COUNTY CUMBERLAND
SSN/DC 159-24-9467
ACN 11163684
APPEAL BY DATE:07-13-2012
(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 ~
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: 05-14-2012
ESTATE OF:HENRY FERNE V DATE OF DEATH:09-17-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-1076 S.S/D.C. NO.: 159-24-9467
ACN: 11163684
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 67730-11
TYPE OF ACCOUNT: ( )SAVINGS CX) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 11-08-1986
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
1,571.74
X 0.166
261.96
- 300.00
.00
x .045
.00
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICF_
WITH YOUR TAX PAYMENT TO THF_
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
TOTAL TAX PAYMENT .00
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 REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. 1~~
,1 ,_