HomeMy WebLinkAbout09-28-12 (][('~(~t1Cf'1~~~-~ ~ NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TA I1
~ ISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE iAX DIVISION
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~~ DU CTIONS
, AND ASSESSMENT OF TAX ON
PD BOX 28a _ JOINTLY HELD OR TRUST ASSETS
HARRISBURG PA 17128-0601
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DANIEL P Gg]BB~E~ CO., PA
APT 207
19 HOLLAR AVE
SHIPPENSBURG
PA 17257-2177
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DEPARTMENT OF REVENUE
REV-1548 EX AFP I12-11)
DATE 10-01-2012
ESTATE OF GEYER AUDREY J
DATE OF DEATH 05-07-2011 /
FILE NUMBER ~ ~ - ~ ~- I~L03
COUNTY CUMBE LAND
ACN 11171792
APPEAL BY DATE:11-30-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS <"'
REV-1548 EX AFP (12-11)--------------------------------------
DEDUCTIONSINANDIASSESSMEN TAOFRTAXEONNJOINTLYWHELD OR TRUSTLASSETS OF
DATE: 10-01-2012
ESTATE OF:GEYER AUDREY J DATE OF DEATH:05-07-2011 COUNTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: 204-30-5775 ACN: 11171792
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET ~I NFORMATION
FINANCIAL INSTITUTION: ACNB BANK ACCOUNT NO.: 117587
TYPE OF ACCOUNT: ( )SAVINGS (X) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 11-30-2001
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
1,083.18
X 0.500
541.59
_ .00
541.59
.15
81.24
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TOTHE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"RE.G ISTER OF WILLS, AGENT."
PAYMENT RECEIPT I DISCOUNT (+) I AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 10-09-2012 TOTAL TAX PAYMENT
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE
REVERSE SIDE OF THIS FORM INTEREST AND PEN.
TOTAL DUE
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR)r VOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
00
81.24
1.63
82.87
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