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HomeMy WebLinkAbout10-22-12 (2)BUREAU OF I '" ~ +~~ NDTICE OF INHERITANCE TAX pennsylvan~a ~ INHERITANCE TA~~~~ t" ~~1''~• ~ APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE PO BOX 280601 ~',`p;-•~'r t"'~ ',',!I~•~ ~ OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-11) HARRISBURG PA 17~~~0110'~~-" ~ JOINTLY HELD OR TRUST ASSETS Zvi? OLT 22 F~ ~ 12~ 34 PAME ~~~I~~/S .~`~~j ~UMBERL~l9~.r PA 24 HO E TER CARLISLE PA 17013-8846 DATE 10-22-2012 ESTATE OF HOLMES GEORGE L DATE OF DEATH 01-20-2012 FILE NUMBER 21 12-1090 COUNTY CUMBERLAND SSN/DC ACN 12150889 APPEAL BY DATE:12-21-2012 (See reverse side under Objections) Amount Re~itted MAKE CHECK PAYABLE AND REMIT PAYMENTTO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE - ~"'1 RETAIN LOWER PORTION FOR YOUR RECORDS F"- 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:HOLMES GEORGE L DATE OF DEATH:O1-20-2012 COUNTY:CUMBERLAIND FILE NO.: 21 12-1090 S.S/D.C. NO.: ACN: 1210889 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: WELLS FARGO ACCOUNT NO.: 001010264504522 TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING ( )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 05-19-2010 Account Balance 741.00 NOTE: TO ENSURE PROPER CREDIT ~0 Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE' Amount Subject to Tax 370.50 UPPER PORTION OF THIS NOtICE Debts and Deductions - 406.00 WITH YOUR TAX PAYMENT TOI,THE Taxable Amount •00 REGISTER OF WILLS AT THE'' Tax Rate x 15 ABOVE ADDRESS. MAKE CHECK Tax Due •00 OR MONEY ORDER PAYABLE T(~: TAX CREDITS: "REGISTER OF WILLS, AGENT." PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX PAYMENT 0 BALANCE OF TAX DUE 0 INTEREST AND PEN. 0 TOTAL DUE n IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATIDN OF ADDITIONAL INTEREST. ~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ, YOU MAY BE DUE A REFUND. ^ ~, SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. 1~\\%)