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HomeMy WebLinkAbout09-28-12Rf~C,~Fi[~''C~ ilC~~(~[NO71CE OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAX U flti 'JJII A "b~kaL'JY{t{F1'~SEME NT, ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIVISION h,~,~-,^n ~ ~ ULTIDNS, AND ASSESSMENT OF TAX ON PO BOX 280601 ~~; V ~ ~~ , HARRISBURG PA 1"1128-0601 ~ JOINTLY HELD OR TRUST ASSETS :~~E2 SEP 28 PM 121 ZO ~~.Ci .. ORPw~N'S LOUR? LINDSAY MA~,IBERLAND CO.,~ 1615 PINE RD CARLISLE PA 17015-9324 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 IX AFP Q2-lll DATE 10-01-2012 ESTATE OF MARTIN GLADYS DATE OF DEATH 05-11-2012 FILE NUMBER 21 12-0921 COUNTY CUMBERLAND SSN/D ACN 12144971 APPEAL BY DATE:11-30-2012 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 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: 10-01-2012 ESTATE OF: MARTIN GLADYS DATE OF DEATH:05-11-2012 COUNTY:CUMBERLAND FILE NO.: 21 12-0921 S.S/D.C. NO.: 488-62-0135 ACN: 12144971 TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: M 8 T BANK ACCOUNT ND.: 773298 TYPE OF ACCOUNT: C )SAVINGS (X) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 11-01-1971 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAV rRrnTTC. 24,055.84 X 0.500 12,027.92 - .00 12,027.92 v .045 541.26 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 (-) AMOUNT PAID PAYMENT MUST BE MADE BY 02-12-2013. TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 541.26 INTEREST AND PEN. .00 TOTAL DUE 541.26 IF PAID AFTER THIS GATE, SEE REVERSE FDR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), VOU MAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FDR INSTRUCTIONS.