HomeMy WebLinkAbout11-16-12 (3)BUREAU OF INDIVIDUAL IYAX~S ~~.J ~ ~ ~~JL NOTICE OF INHERITANCE TAX
INHERITANCE TAX OIV ISION p ~:~ t?~i ~/@PRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 F.: U~•: ~-~ ~ ~''~-MJ~ DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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RITA G`~B1F'E~~T E-IV Bi4C M'~" PA
411 EISENHOWER DR
CARLISLE PA 17013-1679
Pennsylvania
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-1ll
DATE 11-20-2012
ESTATE OF BRELTENBACH GERALDINE P
DATE OF DEATH 10-15-2012
FILE NUMBER 21 12-1151
COUNTY CUMBERLAND
SSN/DC
ACN 12158495
APPEAL BY DATE:O1-19-2013
(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 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: 11-20-2012
ESTATE OF: BREITENBACH GERALDINE P DATE OF DEATH:10-15-2012
FILE NO.: 21 12-1151 S.S/D.C. NO.: 195-16-9494
COUNTY:CUMBERLAND
ACN: 12158495
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 29327-42
TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST (X)TIME CERTIFICATE
DATE ESTABLISHED 12-20-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
13,449.92
X 0.033
448.29
448.29
x .045
20.17
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
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMDUNT PAID
10-31-2012 CD016721 1.01 19.16
T07AL TAX PAYMENT 20.17
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER THIS GATE, SEE REVERSE FOR CALCULATIDN OF ADDITIONAL INTEREST. .
IF TOTAL DUE IS REFLECTED AS A "CREDIT•• (CR), VOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FDRM FOR INSTRUCTIONS.