HomeMy WebLinkAbout06-15-12 (3)( ~ (1/l~lrr•~i'~ ~ il:~"~(' 4[ ~"
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BUREAU OF INDIVIDUAL TAXES ~ ~U~ _'`"L'}_ '{ ~'~C7[NO~'~L'CE OF INHERITANCE TAX
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ,-( y.~4P~2~'{j~~~NT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~`'~~'~`d~`-' OP' ~DDDU'C'~ONS, AND ASSESSMENT DF TAX ON REV-1548 EX AFP (12-11)
HARRISBURG PA 17128-0601 } tt JOINTLY HELD OR TRUST ASSETS
w~~9~ ~~~ i 5 r'~~ `I ~~' DATE 06-18-2012
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JOHN J MADAR~~~~ ~'' P~
3812 CANDLELIGHT DRIVE
CAMP HILL PA 17011
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: 06-18-2012
ESTATE OF: MADARA NANCY J DATE OF DEATH:07-03-2011 COUNTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: ACN: 11148832
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
ESTATE OF MADARA NANCY J
DATE OF DEATH 07-03-2011
FILE NUMBER a~ - ~ -U~~3
COUNTY CUMBERLAND
SSN/DC 197-24-4045
ACN 11148832
APPEAL BY DATE:08-17-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 189039-70
TYPE OF ACCOUNT: C )SAVINGS ( ) CHECKING C )TRUST (X)TIME CERTIFICATE
DATE ESTABLISHED 10-25-2010
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
47,017.75
X 0.500
23,508.88
- .00
23,508.88
x .00
.00
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."
TAX CREDITS:
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.