HomeMy WebLinkAbout11-16-12f)[~~~~~~-j~ ~ vl I ~U4 ~~ NOTICE DF INHERITANCE TAX
BUREAU OF INDIVIDUAL T ~.~ -,,~1 -^. jIIA~DRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~,, _ I` O~J DEDUCTIONS, AND ASSESSMENT OF TAX ON
PO BOX 280601
HARRISBURG PA 17128-06u1 JOINTLY HELD OR TRUST ASSETS
pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 IX AFP (12 -11)
'~uf"s?P40@' 15 F. I~ ~3 DATE 11-zo-zolz
r
Clu~~~.~~ 1.!F,~
CIiPJ[3Efi~a JC GO , PA
DOROTHY A SHENCK
1505 SLMPSON FERRY RD
NEW CUMBERLAND PA 17070-1561
ESTATE OF GEPHART LINDA
DATE OF DEATH 10-22-2011
FILE NUMBER 21 11-1210
COUNTY CUMBERLAND
SSN/DC 248-02-8118
ACN 11182748
APPEAL BY DATE:O1-19-2013
(See reverse side under Objections)
Amount Renitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
L
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
DEDUCTIDNS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 11-20-2012
ESTATE OF: GEPHART LINDA L DATE OF DEATH:10-22-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-1210 S.S/D.C. NO.: 248-02-8118 ACN: 11182748
TAX RETURN WAS: IX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: METRO BANK ACCOUNT NO.: 538359811
TYPE OF ACCOUNT: ( )SAVINGS (X) CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 01-20-2009
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
892.25
X 0.500
446.13
.00
446.13
X .15
66.92
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."
IAA I.RCYI~J:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
INTEREST IS CHARGED THROUGH 11-28-2012
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 66.92
INTEREST AND PEN. •71
TOTAL DUE 67.63
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ lJ A
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), VOU MAY BE DUE A REFUND. I7`1
SEE REVERSE SLDE OF THIS FORM FDR INSTRUCTIONS.