HomeMy WebLinkAbout01-07-13 (2)BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
REV-1548 EX AFP (12-12)
PO BOX 28D6o1 OF DEDUCTIONS, AND ASSESSMENT DF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
REGOR~J~ '" ~~~= fl~ DATE 12-31-2012
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BRIAN W DAVIES Ci~EI~K (J ACN 12156193
2495 COPE DR n PNe S. ~~~~-~ APPEAL BY DATE:03-O1-2013
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CUM@ERLAND C~., ~'~ Amount Re~itted
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 ~
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REV-1548 EX AFP (12-12)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 12-31-2012
ESTATE OF:DAVIES
ROBERTA D DATE OF DEATH:09-28-2012
FILE NO.: 21 12-1252 S.S/D.C. NO.:
~ Pennsylvania
DEPARTMENT OF REVENUE
COUNTY:CUMBERLAND
ACN: 12156193
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 272428-05
TYPE OF ACCOUNT: CX)SAVINGS ( ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 12-29-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CRFDTTS:
34,548.69
X 0.083
2,878.94
- .00
2,878.94
X .045
129.55
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 C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
11-30-2012 CD016867 6.48 123.07
TOTAL TAX PAYMENT 129.55
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" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.