HomeMy WebLinkAbout10-26-12 (9) /~r-~11~11( f ~."[(` [ (~
NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TA ~5 ~~~ A ~
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f SEME NT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION
PD BOX 280601 [
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DUCTIONS
. AND ASSESSMENT OF TAX ON
HARRISBURG PA 1]128-0601 . JOINTLY HELD OR TRUST ASSETS
2D12 OCT 26 AM I I ~ 31
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JOHN E B,BERW~iD CO., PA
15 LYNN AVE
NEWBURG PA 17240-9229
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-]ll
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 12144233
APPEAL BY DATE:12-28-2012
(See reverse side under Objections)
Amount Renitted
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 F
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
FLLE NO.: 21 12-1043 S.S/D.C. NO.: 202-20-4618
COUNTY:CUMBERLAND
ACN: 12144233
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
TYPE OF ACCOUNT: (K)SAVINGS ( ) CHECKING ( )TRUST
DATE ESTABLISHED 08-05-1993
Account Balance
Percent Taxable
Amount Sub]ect to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
28,679.97
X 0.166
4,780.09
- .00
4,780.09
., . 045
215.10
rev rocnr,•c.
INFORMATION
ACCOUNT NO.: 8472-05
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
GATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
09-20-2012 CD016550 10.76 204.35
TOTAL TAX PAYMENT 215.11
BALANCE OF TAX DUE .O1CR
INTEREST AND PEN. .00
TOTAL DUE .O1CR
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. +
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR7, YOU MAY BE DUE A REFUND. ti
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.