HomeMy WebLinkAbout09-28-12 (2)BUREAU OF INDIVIDUAL TAXES ~`-"`"""L`" u~~l~"~ICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION r'nrt`."ARPR ENT, ALLOWANCE OR DISALLOWANCE
Po BOX 28D6D1 REGi'„i[-r'~d~' D~IDNS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
?CIZ SEP 28 PM 12, 20
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1521 INVERNESS DR
M ECHANICSBURG PA 17050-8329
Pennsylvania ~
DEPARTMENT OF REVENUE
REY-1548 IX AFP Q2-lll
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 12131597
APPEAL BY DATE:11-30-2012
(See reverse side under Objections)
Amount Renitted ~~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS <"'
REV-1548 EX AFP C12-11)
NOTICE OF INHERITANCE TAXAPPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 10-01-2012
ESTATE OF: BUNJEVAC
FILE NO.: 21 12-0619
THERINE B DATE OF DEATH:04-28-2012
S.S/D.C. NO.: 182-16-1084
COUNTY:CUMBERLAND
ACN: 12131597
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: FULTON BANK NA ACCOUNT NO.: 3626-84078
TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING CX)TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 03-29-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
rev rornrrc.
979.87
X 0.500
489.94
- 519.28
.00
.045
NOTE: TO ENSUREPROPER 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
(-) AMDU NT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION DF ADDITIONAL INTEREST. ~ i~
IF TDT AL DUE IS REFLECTED AS A "CREDIT" CCRJ, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.