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HomeMy WebLinkAbout05-11-12~, , , BUREAU OF INDIVIDUAL TAXES ~~~ ~ ~QTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION ~._'_' ._~APPRA~IAENT, ALLOWANCE OR DISALLOWANCE PD BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS .~ ClJP1E3EF~Lfi~~~J~CO,~PA JEAN G SMITH 111 EVERGREEN DR NATRONA HEIGHTS PA 15065-1903 Pennsylvania ~, DEPARTMENT OF REVENUE REV-1548 EX AFP (12-11) DATE 05-14-2012 ESTATE OF SMITH GARY DATE OF DEATH 01-01-2012 FILE NUMBER 21 12-0063 COUNTY CUMBERLAND SSN/DC ACN 12000578 APPEAL BY DATE:07-13-2012 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO :: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 L 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:SMITH GARY L DATE OF DEATH:OI-O1-2012 COUNTY:CUMBERLAND FILE NO.: 21 12-0063 S.S/D.C. NO. ACN: 120005i'8 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: US TREASURY ACCOUNT NO.: V1258182HH TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 04-01-1997 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 5,000.00 X 0.500 2,500.00 - .00 2,500.00 x .045 112.50 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 DISCDUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID 03-27-2012 CD015764 5.63 106.88 TOTAL TAX PAYMENT 112.51 BALANCE OF TAX DUE .O1CR INTEREST AND PEN. .00 TOTAL DUE .O1CR * 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. ~`~ L'