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HomeMy WebLinkAbout06-15-12 (8)BUREAU OF INDIVIDUAL TAXES ~'{-~~~~~~~!-~ '.~L~Ff,~E OF INHERITANCE TAX INHERITANCE TAX DIVISION 7 :~+~'~?'; ygPP~tA!TF~~r~+NT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 ~~~~~f'-%~:-~OF".bE- FdbNS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS ~~!2 JUW 1 S ~~ 2~ 42 V....-i .1 '. J. ©RPN~W`~ ~.;OUk~ JOHN J MADAR~yU~BERLAND CO., PA 3812 CANDLE LIGHT DR CAMP HILL PA 17011-1408 Pennsylvania ~ ~~~ t DEPARTMENT OF REVENUE REV-1548 EX AFP C12-11> DATE 06-18-2012 ESTATE OF MADARA NANCY J DATE OF DEATH 07-03-2011 FILE NUMBER I COUNTY ~,MBE~LAND SSN/DC ACN 11148797 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 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: 11148797 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST DATE ESTABLISHED 06-18-2010 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 3,457.31 X 0.500 1,728.66 - .00 1,728.b6 x .00 .00 ACCOUNT NO.: 189039-43 CX)TIME CERTIFICATE NOTE: TO ENSURE PROPER CREDIT TO YOUR ACCDUNT, 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 C+) 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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.