HomeMy WebLinkAbout09-04-12r~,,~~ pennsylvania~•
BUREAU OF INDIVIDUAL TA~t~~ j~ ~~ ~'~tt. NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~'°•~ ~ ~ ',~IPp1~4ISEMENT, ALLOWANCE OR DISALLOWANCE
_-._. __
PO BOX 280601 ! G ~~-` ~. ~-~ '
'0~''~DUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-11)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
;'~~'' ~~~~ --~} ~i~ ~~ ~~ DATE 09-03-2012
CAROLYN WI~L~~~~r'~lR`~I.~ C~.t ~'~,
20 N FRONT ST
WORMLEYSBURG PA 17043-1327
ESTATE OF WILSON PHYLLIS C
DATE OF DEATH 09-20-2011
FILE NUMBER 21 11-1085
COUNTY CUMBERLAND
SSN/DC 188-12-3670
ACN 11166255
APPEAL BY DATE:11-02-2012
(See reverse side under Objections)
Amount 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 ~
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: 09-03-2012
ESTATE OF:WILSON PHYLLIS C DATE OF DEATH:09-20-2011
FILE NO.: 21 11-1085 S.S/D.C. NO.: 188-12-3670
COUNTY:CUMBERLAND
ACN: 11166255
TAX RETURN WAS: CX1 ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: FULTON BANK NA ACCOUNT NO.: 1068-33244
TYPE OF ACCOUNT: C )SAVINGS C ~ CHECKING C TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 02-21-1966
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
10,728.65 NOTE:
X 0.500
5,364.33
- .00
5,364.33
x .045
241.39
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 C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
10-13-2011 CD015063 12.07 229.32
TOTAL TAX PAYMENT 241.39
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
1
~ 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.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.