HomeMy WebLinkAbout08-24-12Ft~°~`c_D OFFICE OF
BUREAU OF INDIVIDUAL' NOTICE OF INHERITANCE TAX
INHERITANCE TAX OIV ISIDN J' ~ ' ~}'~JR~(1P PRAISEME NT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~~) "'~ ~~~ ~ ~ ~ F DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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DEPARTMENT OF REVENUE RRii11
REV-1546 IX AFP (12-1ll
DATE 08-28-2012
ESTATE OF MOUNTZ M I
DATE OF DEATH Ofi-16-2012
FILE NUMBER 21. 12-0765
COUNTY CUMBERLAND
ACN 12136538
APPEAL BY DATE:10-27-2012
(See reverse side under Objecrions)
Amount Remitted)
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSESgUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1548 EX AFP (12-11)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS -
DATE: OS-28-2012
ESTATE OF:MOUNTZ M I DATE OF DEATH:05-16-2012 COUNTY:CUMBERLAND
FILE NO.: 21 12-0765 S.S/D.C. NO.: 162-22-2988
ACN: 12136538
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO..: 5804698859
TYPE OP ACCOUNT: ( )SAVINGS CX) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED OL-12-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
1,853.00 NOTE:
X 0.500
926.50
- .00
926.50
x .045
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 DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT P'A ID
07-11-2012 CD016249 2.08 41.69
TOTAL TAX PAYMENT 43.77
BALANCE OF TAX DUE 2.O8CR
INTEREST AND PEN. .00
TOTAL DUE 2.08CR
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ ~~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAV BE DUE A REFUND. ~
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.