HomeMy WebLinkAbout10-22-12 (2)BUREAU OF INDIVIDUAL T~~"~~~~, ~~~~~~'~ NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION r` ~ ~~~r ('+~ 4~.11AP AISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~EuIL'"' L'' '"~~EDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
2Cl2 CC? 22 P~ 12~ 34
V L:-~ 1
SARAH S ~~LAND CO., PA
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 11174737
APPEAL BY DATE:12-21-2012
(See reverse side under Objections)
Amount Reeitted
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 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: 11174737
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 80987-11
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 05-11-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
2,971.23
X 0.500
1,485.62
- .00
1,485.62
x 045
66.85
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 TO:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
rurrr. r..r
~•••~•~~.+, a.a vngrtuCU 11'1K UUGtI lU-SU-ZU12
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT ,¢p
BALANCE OF TAX DUE 66. 5
INTEREST AND PEN. 0
TOTAL DUE 67. 5
* 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.