HomeMy WebLinkAbout08-06-12[(~~nr ;r
.ECJ~ 1L!~~ ~~'~~~1(~CE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~(1~~~_,._~w
INHERITANCE TAX DIVISION ~CU,Ji~.~D~~NT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 D2 BT ONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17126-0601 JOINTLY HELD OR TRUST ASSETS
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-11)
LJ1~ ~~'~ _b ~-' ~; L~ DATE 08-Ob-2012
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J O H N K BUSH CU~~E~~D C~.. PA
3108 HARVARD AVE
CAMP HILL PA 17011
ESTATE OF BUSH SHIRLEY
DATE OF DEATH 02-15-2011
FILE NUMBER ~~ -~~- +(~~~
COUNTY CUMBERLAN
SSN/DC
ACN 11160465
APPEAL BY DATE:10-05-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
R
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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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: 08-06-2012
ESTATE OF:BUSH
SHIRLEY R DATE OF DEATH:02-15-2011 COUNTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: ACN: 11160465
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.:
2331029865
TYPE OF ACCOUNT: { )SAVINGS (X) CHECKING { )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 03-05-1999
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
10,116.84
X 0.500
5,058.42
- .00
5,058.42
x .15
758.76
-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 RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
INTEREST IS CHARGED THROUGH 08-14-2012
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 758.76
INTEREST AND PEN. 16.99
TOTAL DUE 775.75
~ IF PAID AFTER THIS DATE, SEE REVERSE FDR CALCULATION OF ADDITIONAL INTEREST. ^
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
V,J