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HomeMy WebLinkAbout12-07-12 REC0RDE 0 r 37 11~ _ NOTICE OF INHERITANCE TAX pennsyLvania ~ BUREAU OF INDIVIDUAL TAXES n DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION RVI P.R9ISENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 r 'REDVCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-11) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS Z01? DEC 7 Pil 1 U3DATE 12-10-2012 ESTATE OF BREITENBACH GERALDINE P CLERK Cy DATE OF DEATH 10-15-2012 ORPHANS' COL; FILE NUMBER 21 12-1151 COUNTY CUMBERLAND CUMBERLAND Co., SSN/DC 195-16-9494 PENNY TORRENCE ACN 12158496 18900 CHIMNEY PL APPEAL BY DATE:02-08-2013 MONTGOMRY VLG MD 20886-3140 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS 4-- 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: 12-10-2012 ESTATE OF:BREITENBACH GERALDINE P DATE OF DEATH:10-15-2012 COUNTY:CUMBERLAND FILE NO.: 21 12-1151 S.S/D.C. NO.: 195-16-9494 ACN: 12158496 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 C ) CHECKING ( )TRUST O)TIME CERTIFICATE DATE ESTABLISHED 12-20-2004 Account Balance 13,449.92 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.033 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 448.29 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 448.29 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due 20.17 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT DATE NUMBER INTEREST/PEN PAID AMOUNT PAID 11-16-2012 CDO16793 1.01 20.17 TOTAL TAX PAYMENT 21.18 BALANCE OF TAX DUE 1.01CR INTEREST AND PEN. .00 TOTAL DUE 1.01CR IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. + IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. J SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.