HomeMy WebLinkAbout06-15-12~{~{~ ~, -~,-, ,~-C ~[ pennsylvania ~
BUREAU OF INDIVIDUAL TAXES'-"~~~ ~~~_r ,'!'i~~4 "'"OTICE OF INHERITANCE TAX ~
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~~I~}~'_~~. ;4`~~~RIa~'SEMENT, ALLOWANCE OR DISALLOWANCE REV-1548 IX AFP (12-11)
PO BOX 280601 0~ DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
~~~2 ~~~ ~ ~ s ~ ~~ 4~ DATE 06-18-2012
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MARK S ULST-r"-'g~~l"~~ C'O"
4 LANTERN LN
CAMP HILL PA 17011-8456
ESTATE OF ULSH KAREN M
DATE OF DEATH 03-26-2012
FILE NUMBER 21 12-0453
COUNTY CUMBERLAND
SSN/DC
ACN 12125453
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:ULSH KAREN M DATE OF DEATH:03-26-2012 COUMTY:CUMBERLAND
FILE NO.: 21 12-0453 S.S/D.C. NO.:
ACN: 12125453
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SUSQUEHANNA VALLEY FCU ACCOUNT NO.: 1049
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 09-02-1977
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
1,544.89
X 0.166
257.49
- .00
257.49
Y .00
.00
NOTE: TO ENSURE PRCIPER 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 DISCOUNT (+)
INTEREST/PEN PAID C-)
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.
11~