HomeMy WebLinkAbout09-28-12~~~~~ OFF-~ Pennsylvania ~
~y[/~ ~p E DF INHERITANCE TAX DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES RCU~il ~L.17 FJR',I ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION RC.l7 ~O'Fi DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 Ex AFP (12-1ll
PO BOX 280601
HARRISBURG PA 17128-06D1 JOINTLY HELD OR TRUST ASSETS
~~~~ S~P 28 PN ~ZI 2~ DATE 10-01-2012
vLCi ,. ' .
ORPHAN'S CUUR?
CUMBERLAND CO., PA
STEVEN J FOLSOM
APT 3
6403 GLENWOOD ST
MECHANICSBURG PA 17D50-1900
ESTATE OF FOLSOM MARY E
DATE OF DEATH 04-29-2012
FILE NUMBER 21 12-0966
COUNTY CUMBERLAND
ACN 12130874
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 F
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: 10-01-2012
ESTATE OF:FOLSOM MARY E DATE OF DEATH:04-29-2012
FILE NO.: 21 12-0966 S.S/D.C. NO.: 204-28-0421
COUNTY:CUMBERLAND
ACN: 12130874
TAX RETURN WAS: IX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 182561-00
TYPE OF ACCOUNT: LX)SAVINGS ( ) CHECKING L )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 03-13-1999
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
~nrrc.
425.62
X 0.500
212.81
- .DO
212.81
.D45
9.58
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
GATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) pMDUNT PAID
PAYMENT MUST BE MADE BY 01-30-2013*.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 9.56
INTEREST AND PEN. .00
TOTAL DUE 9.58
IF PAID AFTER THIS GATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). YOU MAV 8E DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. '!