HomeMy WebLinkAbout10-26-12 ^,
' ICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL ~ '
TAXES (
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A7PRR~B'[. CM~ ALLOWANCE OR DISALLOWANCE
INHERITANCE TA% OIVIS ION
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RE~
~' 7IDNS,
!~ ~~P~ AND ASSESSMENT OF TAX ON
PA 17128-0601
HARRISBURG ;'~~L' NTLY HELD OR TRUST ASSETS
?i? i 2 OCT 26 AM I i ~ 37
ORPHwV'C COURT
JUDY C MEM~~~R~O CO., PA
466 ARLINGTON RD
CAMP HILL PA 17011-2106
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-11)
DATE 10-29-2012
ESTATE OF CARHART MARY J
DATE OF DEATH 07-02-2012
FILE NUMBER 21 12-1074
COUNTY CUMBERLAND
SSN/DC 085-18-9858
ACN 12145558
APPEAL BY DATE:12-28-2012
(See reverse side under Objectdons)
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: 10-29-2012
ESTATE OF:CARHART MARY J DATE OF DEATH:07-02-2012 COUNTY:CUMBERLAND
FILE NO.: 21 12-1074 S.S/D.C. NO.: 085-18-9858 ACN: 12145558
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: METRO BANK ACCOUNT NO.: 5369600990
TYPE OF ACCOUNT: ( )SAVINGS (X) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 03-25-2005
Account Balance
Percent Taxable
Amount SubJect to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
2,989.03 NOTE:
X 0.500
1,494.52
_ .00
1,494.52
.15
224.18
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 (a7
INTEREST/PEN PAID (-)
AMOUNT PAID
09-29-2012 CD016577 11.21 224.18
TOTAL TAX PAYMENT 235.39
BALANCE OF TAX DUE 11.21CR
INTEREST AND PEN. .00
TOTAL DUE 11.21CR
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. * ~~
* IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). VOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.