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HomeMy WebLinkAbout10-22-12BUREAU OF INDIVIDUA~~~-~~ ~~~-~~~ (~ NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION ~~,.,_~~~ f, r_ 4PPPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 F~~~~ :.: ; ;Y;~ ~~~ ~ CtiF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 '~ JOINTLY HELD OR TRUST ASSETS 2~l2 ocr 22 PM 12: 3t~ ORPHAPi'S ;OUST SARAH ~JI4~p (~0., 28 STONE RUN DR MECHANICSBURG PA 17050-7810 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 EX AFP (12-11) DATE 10-22-2012 ESTATE OF ORSE MARY L DATE OF DEATH 10-31-2011 FILE NUMBER 21 11-1281 COUNTY CUMBERLAND SSN/DC ACN 11174736 APPEAL BY DATE:12-21-2012 (See reverse side under Objections) Amount Re~itted MAKE CHECK PAYABLE AND REMIT PAYMENT'T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE "--~ RETAIN LOWER PORTION FOR YOUR RECORDS <"~ 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: 10-22-2012 ESTATE OF:ORSE MARY L DATE OF DEATH:10-31-2011 COUNTY:CUMBERLA~ND FILE NO.: 21 11-1281 S.S/D.C. NO.: ACN: 11174736 TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU TYPE OF ACCOUNT: (X)SAVINGS C ) CHECKING C )TRUST DATE ESTABLISHED 05-06-1986 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 1,206.24 X 0.500 b03.12 - .00 603.12 Y .045 27.14 ACCOUNT NO.: 80987-00 ( )TIME CERTIFICATE 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 C+) INTEREST/PEN PAID (-) AMOUNT PAID INTEREST IS CHARGED THROUGH 10-30-2012 TOTAL TAX PAYMENT ,~j0 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 27, 4 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 0 TOTAL DUE 27,$4 * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. +~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~~