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HomeMy WebLinkAbout07-10-12 (5)~~~""`~~ ""R9~~e ~OF INHERITANCE TAX Pennsylvania BUREAU OF IHIOIVIDUAL TAXES [}[(~(~ ~ryp7,,Jl:' DEPARTMENT OF REVENUE REV-1548 EX AFP (12-]ll PONBOXT2806o1 ~( OIV ISION (lLl3~JUCTIONS.AANDNASSESSMENTSOF LTAXNON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS 2Ci2 JUL 10 Ph? 12. 15 DATE o7-o9-zD12 rri~pprfCuLAFr,~~p ~Y~~~' {^ llnt"TVMV~3 CVU7'i.T OLIVER L WEtfGER ~ Cfl„ PA 4718 E TRLNDLE !ROAD MECHANICSBURG ~, PA 17055 ESTATE OF WENGER FRANCIS I DATE OF DEATH 07-28-2011 FILE NUMBER 21 11-1012 COUNTY CUMBERLAND SSN/DC ACN 11152680 APPEAL BY DATE:09-07-2012 (See reverse side under Objections) Amount Renitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA Li'013 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: n~-no-~nl~ ESTATE OF:WENGER FRANCIS I DATE.OF DEATH:07-28-2011 COUNTY:CUMBERLAND FILE NO.: 21 11-loll S.S/D.C. ND.: 178-16-0979 ACN: 11152680 TAX RETURN W S: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO..: 207402-11 TYPE OF ACCOUNT: ( SAVINGS (X) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 09-3 -2004 Account Balance ~ 10,815.91 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Sub]ect to Tax 5,407.96 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount ~ 5,407.96 REGISTER OF WILLS AT THE Tax Rate i X .045 ABOVE ADDRESS. MAKE CHECK Tax Due i 243.36 OR MONEY ORDER PAYABLE T0: ~' "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT DATE RECE NUMB PT R DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID 09-22-2011 CD0149 I I II 8 5.07 96.36 INTEREST IS CHARGED HROUGH 07-17-2012 TOTAL TAX PAYMENT 101.43 AT THE RATES APPLICA LE AS OUTLINED ON THE BALANCE OF TAX DUE 141.93 REVERSE SIDE OF THIS FORM INTEREST AND PEN. .93 '~, TOTAL DUE 142.86 ~ IF PAID AFTER THIS DAT ~I~, SEE REVERSE FDR CALCULATION OF ADDITIONAL INTEREST. ~ IF TOTAL DUE IS REFLECTED AS A ^CREDIT" (CR), VOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THUS FORM FOR INSTRUCTIONS. ~e