HomeMy WebLinkAbout10-26-12 (5)r ~~(~~r,C~~~~} ~[ ~~~ ~~OTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXE S~f.IJV RVG..~ !'/I f \J
INHERITANCE TAX OIV ISION (7[('~y~---^~;-•,ARP Al(SEMENT, ALLOWANCE OR DISALLOWANCE
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HARRISBURG PA 12128-0601 JOINTLY HELD OR TRUST ASSETS
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JOHN E eYER~MBERLAAID CO., PA
15 LYNN AVE
NEWBURG PA 17240-9229
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DEPARTMENT OF REVENUE
REV-1548 EX AFP Q2-lll
DATE 10-29-2012
ESTATE OF BYERS EVELYN L
DATE OF DEATH 07-27-2012
FILE NUMBER 21 12-1043
COUNTY CUMBERLAND
SSN/DC 202-20-4618
ACN 12144225
APPEAL BY DATE:12-28-2012
(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 (12-11)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 10-29-2012
ESTATE OF: BYERS EVELYN L DATE OF DEATH:07-27-2012
FILE NO.: 21 12-1043 S.S/D.C. NO.: 202-20-4618
COUNTY:CUMBERLAND
ACN: 12144225
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 13170-41
TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST (X)TIME CERTIFICATE
DATE ESTABLISHED 04-OS-2011
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAY CRFOTTS:
32,890.89 NOTE:
X 0.166
5,481.92
nn
5,481.92
Y .045
246.69
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 TD:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
09-20-2012 CD016550 12.33 234.36
TOTAL TAX PAYMENT 246.69
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" CCRJr YOU MAY BE OUE A REFUND. ~~~
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.