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HomeMy WebLinkAbout11-26-12{~ jr. BUREAU OF INDIVIDUAL TASCE.~+~,.} -. i •~ ~'- ~.''- NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION ~--* ~ 4P~'RXIISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 ,G_._i ~ ~~- OF ~D~DUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS ,~ _. Pennsylvania; ~ DEPARTMENT OF REVENUE .......... REV-1548 IX AFP (12-11) . ! ; _- .~±c3' ~ ~-~ ~ •~-} ~ ~ ~`', -;.: DATE 11- 26 - 2012 { G -. ~ i' - -t~ STEPHANIE Y~.~,•~~ --`~~~ ` ~ '°" 1920 LAMBS GAP RD MECHANICSBURG PA 17050-1617 ESTATE OF HULBERT CHARLES DATE OF DEATH 08-15-2012 FILE NUMBER 21 12-1127 COUNTY CUMBERLAND SSN/DC 384-09-7849 ACN 12156295 APPEAL BY DATE:O1-25-2013 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 R 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: 11-26-2012 ESTATE OF:HULBERT CHARLES R DATE OF DEATH:08-15-2012 FILE NO.: 21 12-1127 S.S/D.C. NO.: 384-09-7849 COUNTY:CUMBERLAND ACN: 12156295 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED FINANCIAL INSTITUTION: PSECU TYPE OF ACCOUNT: CX)SAVINGS DATE ESTABLISHED 03-29-1980 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: JOINT OR TRUST ASSET INFORMATION ACCOUNT NO.: 0384097849-S1 C ~ CHECKING C )TRUST C )TIME CERTIFICATE 2,350.52 NOTE: X 0.500 1,175.26 - .00 1,175.2b x .045 52.89 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 10-18-2012 CD016661 2.64 50.29 TOTAL TAX PAYMENT 52.93 BALANCE OF TAX DUE .04CR INTEREST AND PEN. .00 TOTAL DUE .04CR ~ 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. v~ SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.