HomeMy WebLinkAbout07-10-12 (4) _
,-- _ T_
I~[{~
I~ ~~TILE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAX rrAIC
POHBOXT2806D1~ DIVISION I~(~1JTy-C
Ili.Ul Il.~l V1 yp/N~UCTIONS,
ue r.IiBD AANDNASSESSMENTSOFLTAXNON
HARRISBURG PA 1]128-06D1 J OINTLY HELD OR TRUST ASSETS
2012 ~UL I 0 FH 12~ ! 7
VLt6i~i ki'f
~~.. O~~f.~~nnt~~'I~~FW°S CUURT
NICOLE L DEVA9ICG~I.AND ~•~
8 HANOVER STREET.
GLEN RDCK PA 17327
Pennsylvania
DEPARTMENT OF REVENUE
REV-1548 EX AFP Q2-lll
DATE 07-09-2012
ESTATE OF SIiIELDS JOHN H
DATE OF DEATH 07-27-2011
FILE NUMBER ~ ~ - ,~.-9'I
COUNTY CUMBERLAND
SSN/DC 172-OL-2991
ACN 11152249
APPEAL BY DATE:09-07-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQ UTARE
CARLISLE PA 17'013
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: 07-09-2012
ESTATE OF:SHIELDS II JOHN H DATE OF DEATH:07-27-2011 COUNTY:CUMBERLAND
FILE NO.: '~. S.S/D.C. NO.: 172-01-2991 ACN: 11152249
TAX RETURN W,~1S: CX) ACCEPTED AS FILED C ) CHANGED
FINANCIAL INSTITUTI
TYPE OF ACCOUNT: C7Q
DATE ESTABLISHED 08-211,
Account Balance
Percent Taxable
Amount Subject to Taxl,
Debts and Deductions '~
Taxable Amount
Tax Rate '~
Tax Due
TAX CREDITS: '
JOINT OR TRUST ASSET INFORMATION
MEMBERS 1ST FCU ACCOUNT NO..: 7446-00
(SAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE
'-1964
41,093.78
X 0.500
20,546.89
- nn
20,546.89
X .045
924.61
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."
PAYMENT
DATE RECE PT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-7 AMOUNT PAID
INTEREST IS CHARGED THROUGH 07-17-2012
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 924.61
INTEREST AND PEN. 6.14
TOTAL DUE 930.75
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ Ry.
IF TOTAL OUE IS REFLECtED AS A "CREDIT" (CR), VOU MAV BE DUE A REFUND. J~
SEE REVERSE SIDE OF TH#S FORM FOR INSTRUCTIONS.