HomeMy WebLinkAbout11-05-12 (2)~~ ,~,~ ;r_ ; '~F~r^~ F Pennsylvania ~
~ •i•~'L'~'-' ••" ' /1» NICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES - 1;r•.T- ~ r~'• to ~ DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~tt~<"'„ j! [_;-', ~~P~t4~~, ENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-11)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
1'va~ ~Q1~ -5 ~~! Z• 2~. DATE 11-05-2012
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JAMES GROSS
101 ARMY HERITAGE DRIVE
CARLISLE PA 17013
ESTATE OF JUMPER LUTHER D
DATE OF DEATH 11-29-2009
FILE NUMBER 21 10-0043
COUNTY CUMBERLAND
SSN/DC
ACN 09179281
APPEAL BY DATE:O1-04-2013
(See reverse side under Objections)
A~ount Remitted
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 H
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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: 11-05-2012
ESTATE OF:JUMPER LUTHER D DATE OF DEATH:11-29-2009 COUNTY:CUMBERLAND
FILE NO.: 21 10-0043 S.S/D.C. NO.:
ACN: 09179281
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 334523-40
TYPE OF ACCOUNT: ( )SAVINGS ( } CHECKING ( )TRUST CX)TIME CERTIFICATE
DATE ESTABLISHED 08-29-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
10,132.38
X 0.500
5,066.19
- .00
5,066.19
Y .045
227.98
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
INTEREST IS CHARGED THROUGH 11-13-2012
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 227.98
INTEREST AND PEN. 15.88
TOTAL DUE 243.86
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A ••CREDIT•' CCR), YOU MAY BE DUE A REFUND. ,ten
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. `ylGh/