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HomeMy WebLinkAbout09-28-12 (2) O ~NOTICE l ~ ~ OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAXCY-V ,V~-" ^•["~_ v ~ "~ AQlflgr~S SEMENT, /"• '- ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIVISION M [ REU!a!c. , . '~~ ~BEEUCTIONS, AND ASSESSMENT OF TAX ON PD BOX 280601 HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS 2612 SEP 28 PM 1212E 1~:. ORPt~,N'S CGURT RONALD N JUG~I@'~ERLAND CO., PA 247 N MIDDLESEX RD CARLISLE PA 17013-8490 Pennsylvania ~ O EPARTMENT OF REVENUE REV-1548 IX AFP C12 -lll DATE 10-01-2012 ESTATE OF JUMPER PATRICIA A DATE OF DEATH 08-01-2012 FILE NUMBER 21 12-0881 COUNTY CUMBERLAND SSN/DC ACN 12144589 APPEAL BY DATE:11-30-2012 (See reverse sede under Objeclions) Amount Renitted ~--~ MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE S4UARE CARLISLE PA 17013 GUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1548 EX AFP (12-11) NOTICE OF INHE RI TANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-01-2012 ESTATE OF:JUMPER PATRICIA A DATE OF DEATH:OS-01-2012 COUNTY:CUMBERLAND FILE NO.: 21 12-0881 S•~ TAX RETURN WAS: CX) FINANCIAL INSTITUTION: MEMBERS TYPE OF ACCOUNT: (X)SAVINGS DATE ESTABLISHED 01-25-2011 Account Balance Percent Taxable Amount SubJect to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due rocnrrc. i/D.C. NO.: 162-36-8991 ACN: 12144589 ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION 1ST FCU ACCOUNT NO.: 408110-00 C ) CHECKING ( )TRUST ( )TIME CERTIFICATE 2,590.26 X 0.500 1,295.13 - .DO 1,295.13 .045 58.28 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 09-05-2012 CD016467 2.91 55.37 TOTAL TAX PAYMENT 58.28 BALANCE OF TAX DUE .00 INTEREST ANO 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" (CR). YOU MAV BE DUE A REFUND. !r SEE. REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~{