HomeMy WebLinkAbout07-10-12 (5)BUREAU OF INDIVIDUAL TAXES NOTI E OF INHERITANCE TAX
INHERITANCE TA)( DIVISION ~{~~~~~~'~ ALLOWANCE OR DISALLOWANCE
PD BOX 280601 [~[(+, ll7 NS, AND ASSESSMENT OF TAX ON
HARRISBURG PA ]I 7128-0601 f1LGw iC.t U~- V HELD OR TRUST ASSETS
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D EPARTMENT OF REVEN UE
REV-1548 EX AFP (12-1ll
DATE 07-09-2012
ESTATE OF SHIELDS JOHN H
DATE OF DEATH 07-27-20 1
FILE NUMBER q/~ I _ ~ y- ~~ ~~
COUNTY CU97BERLAND
SSN/DC 172-01-2991
ACN 11152250
APPEAL BV DATE:09-07-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TD:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17'013
CUT ALONG THIS LINE I, '~ 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 7RUS T' ASSETS
DATE: 07-D9-2012
ESTATE OF:SHIELDS ~ JOHN H DATE OF DEATH:07-27-2011 COUNTY:CUMBERLAND
FILE NO.: I~'~ S.S/D.C. NO.: 172-01-2991 ACN: 11152250
TAX RETURN W S: (X) ACCEPTED AS FILED C ) CHANGED
i, JOINT OR TRUST ASSET INFORMATIOM
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO ..: 7446-L1
TYPE OF ACCOUNT: ( SAVINGS (X) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 05-1 -2000
Account Balance ~~i 35,232.96 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable ' X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Taxi 17,616.48 UPPER PORTION OF THIS NOTICE
Debts and Deductions ~i, - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount '~ 17,616.48 REGISTER OF WILLS AT THE
Tax Rate I x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due ', 792.74 OR MONEY ORDER PAYABLE T0:
~, "REGISTER OF WILLS, AGENT."
TAX CREDITS: I
PAYMENT
DATE RECE
NUMB PT
R DISCOUNT
INTEREST/PEN (+]
PAID
(-)
AMOUNT
PAID
i
i
INTEREST I5 CHARGED HROUGH 07-17-2012 TOTAL TAX PAYMENT .00
AT THE RATES APPLICA LE AS OUTLINED ON THE BALANCE OF TAX DUE 792.74
REVERSE SIDE OF THIS I,F ORM INTEREST AND PEN. 5.27
TOTAL DUE 798.01
+ IF PAID AFTER THIS DAT q, 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 THUS FORM FOR INSTRUCTIONS. I~Q