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HomeMy WebLinkAbout09-28-12 ' '' l/ Q ~ NOTICE )I-fll C OF INHERITANCE TAX BUREAU OF INDIVIDUAL 1 l C Gl~ TAXE ".. . r t J . ~ EMENT, AP ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIVISION [ , r n l~`v ~Li' RL~ } Ii~OF~~rn~~LTIONS. AND ASSESSMENT OF TAX ON PD BO% 280601 HARRISBURG PA 17128-0681 _ JOINTLY HELD OR TRUST ASSETS 2012 SEP 28 PM 12~ 20 ~PHAfv`S L~URT YVONNE WH~~D `''O" 1521 INVERNESS DR MECHANICSBURG PA 17050-8329 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 EX AFP (12-1ll DATE 10-01-2012 ESTATE OF BUNJEVAC CATHERINE B DATE OF DEATH 04-28-2012 FILE NUMBER 21 12-0619 COUNTY CUMBERLAND SSN/DC ACN 12131596 APPEAL BY DATE:11-30-2012 (See reverse side under Objecrions) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SpUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1548 EX AFP (12-11J 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:BUNJEVAC CATHERINE B DATE OF DEATH:04-28-2012 COUNTV:CUMBERLAND FILE NO.: 21 12-0619 S.S/D.C. NO .: 182-16-1084 ALN: 12131596 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: FULTON BANK NA ACCOUNT NO.: 3626-84078 TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING (X)TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 03-29-2005 Account Balance Percent Taxable Amount Sub]ect to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due 979.87 X 0.500 489.94 - 519.28 .00 .045 .00 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." ^ PAVMENTy DATE RECEIPT NUMBER DISCOUNT (t) INTEREST/PEN PAID (-) pMDUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .DO TOTAL DUE .00 IF PAID AFTER THIS DATE. SEE REVERSE FOR CAL CL CATION OF ADDITIONAL INTEREST. ~ ~•" IF TOTAL DUE IS REFLECTED AS A "CREDIT" (LR). YOU MAY BE DUE A REFUND. `- SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.