HomeMy WebLinkAbout04-30-12!'~((f~i1r, NOT EyIOF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES +-'f„+~;'~!~
INHERITANCE TAX DIVISION ~Af'PR~I~S'E+M~I~iT~~I~LLOWANCE OR DISALLOWANCE
PO BOX 280601 F'^ qF -D~EDUCTTgA1S?, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ~ ~ ~ ~J~OINtt`Y~HELD OR TRUST ASSETS
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616 HIGHLAND AVE
CARLISLE PA 17013-4107
Pennsylvania .~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-11)
DATE 04-3D-2012
ESTATE OF COULSON GEORGETTA J
DATE OF DEATH 03-19-2012
FILE NUMBER 21 12-0393
COUNTY CUMBERLAND
SSN/DC 173-01-5587
ACN 12122518
APPEAL BY DATE:06-29-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO,
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: 04-30-2012
ESTATE OF:000LSON GEORGETTA J DATE OF DEATH:03-19-2012 COUNTY:CUMBERLAND
FILE NO.: 21 12-0393 S.S/D.C. NO.: 173-01-5587
ACN: 12122518
TAX RETURN WAS: CX) ACCEPTED AS FILED C ~ CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 157273-48
TYPE OF ACCOUNT: C )SAVINGS ( ~ CHECKING ( )TRUST CX)TIME CERTIFICATE
DATE ESTABLISHED 10-25-2010
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
10,148.15
X 0.500
5,074.08
- .00
5,074.08
x .045
228.33
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO TFIE
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 12-20-2012*.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 228.33
INTEREST AND PEN. .00
TOTAL DUE 228.33
* 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.