HomeMy WebLinkAbout09-17-12~' `!"! [~/1~
BUREAU OF INDIVIDUAL ~ ~~} ~ ~+? r~1.1~.. NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION~~~Irs1 ~ { }i~,' ~PRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~~' `'' ~' OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
2012 SEP i 7 P1~1 1= 5 t
QF~'E-I~N'S CO~tU1~T
TRACEY ,~~~D CO.. PA
1110 CHARLES ST
MECHANICSBURG PA 17055-3946
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-11)
DATE 09-17-2012
ESTATE OF SHAW LURIE B
DATE OF DEATH 12-05-2011
FILE NUMBER 21 12-0479
COUNTY CUMBERLAND
SSN/DC
ACN 12113545
APPEAL BY DATE:11-1b-2012
(See reverse side under Objections)
AAOUnt Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1548 EX AFP C12-111--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 09-17-2012
ESTATE OF: SHAW
LURIE
B
DATE OF DEATH:12-05-2011 COUNTY:CUMBERLAND
FILE NO.: 21 12-0479 S.S/D.C. NO.: 226-44-6616
ACN: 12113545
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 298110-11
TYPE OF ACCOUNT: ( )SAVINGS C ~ CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 12-29-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
793.23 NOTE:
X 0.500
396.62
- .00
396.62
x .045
17.85
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 C+)
INTEREST/PEN PAID C-) AMOUNT PAID
04-11-2012 CD015880 .00 17.85
TOTAL TAX PAYMENT 17.85
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR 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.