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HomeMy WebLinkAbout11-05-12 (3)ffi ~/ ~ INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES ('~j-~ ~ ~ ,)~ INHERITANCE TAX DIYISION ~ N t; tOWANCE OR DISALLDWANCE PD BOX 280601 ~~~ ~4i,E igllx~, ND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS /. .:it ~t~~'F'{.~~'v U Vlil)~r TATUM L HOCKENBERI~JMSEhi~f~l'VD CQ., PA 155 RUSTIC DR SHIPPENSBURG PA 17257-9463 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 EX AFP (12-11) DATE 11-05-2012 ESTATE OF HOCKENBERRY RONALD L DATE OF DEATH 06-04-2012 FILE NUMBER 21 12-0789 COUNTY CUMBERLAND SSN/DC ACN 12136977 APPEAL BY DATE:O1-04-2013 (See reverse side under Objections) Amount Resitted 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 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:HOCKENBERRY RONALD L DATE OF DEATH:06-04-2012 COUNTY:CUMBERLAND FILE NO.: 21 12-0789 S.S/D.C. NO.: ACN: 12136977 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ORRSTOWN BANK TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST DATE ESTABLISHED 03-31-2009 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due 5,108.20 X 0.500 2,554.10 - .00 2,554.10 Y .045 114.93 TAX CREDITS: ACCOUNT NO.: 4000032269 C ~ 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 (+) INTEREST/PEN PAID (-) AMOUNT PAID 07-19-2012 CD016275 5.75 109.18 TOTAL TAX PAYMENT 114.93 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ~ 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.