HomeMy WebLinkAbout11-05-12,~~(~r~ ,.;-, , : ~.~C{~
~ ~"~~1. l.'~ NOTICE OF INHERITANCE TAX
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BUREAU OF INDIVIDUAL TA1C'ES~
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ALLOWANCE OR DISALLOWANCE
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INHERITANCE TAX DIVISIDN 1.
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'~ REV-1548 EX AFP (12-11)
PO BOX 280601 f
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" DUCTIONS, AND ASSESSMENT OF TAX ON
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HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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'fit'; `Z ~-,~(~~ -~ ~~1 2' 23 DATE 11 - 05-2012
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KIERAN W M(,`Mri~~~C _~~ ~0~~ PA
2194 CANTERBURY DR
MECHANICSBURG PA 17055-5767
ESTATE OF ZOLTEWICZ LEO
DATE OF DEATH 11-18-2011
FILE NUMBER 21 11-1329
COUNTY CUMBERLAND
SSN/DC
ACN 11179760
APPEAL BY DATE:O1-04-2013
(See reverse side under Objections)
Astount 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 <"~
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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:ZOLTEWICZ
LEO
DATE OF DEATH:11-18-2011 COUNTY:CUMBERLAND
ACN: 11179760
FILE NO.: 21 I1-1329 S.S/D.C. NO.:
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 214407-00
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 02-20-2002
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
352.82 NOTE:
X 0.166
58.80
- .00
58.80
x .045
2.65
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 C-)
AMOUNT PAID
12-12-2011 CD015324 .13 2.65
TOTAL TAX PAYMENT 2.78
BALANCE OF TAX DUE .13CR
INTEREST AND PEN. .00
TOTAL DUE .13CR
~ 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. n„
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~/(j/~