HomeMy WebLinkAbout11-16-12 (2)r ~ I)I ~:-~ .y_,rf~.nt' (~~ NOTICE DF INHERITANCE TAX
BUREAU DF INDIVIDUAL TA>~ISC~~, I~ u I" d~p~RWI SEMENT. ALLOWANCE DR DISALLOWANCE
INHERITANCE TAX DIVISION
PD BOX 260601 1{ ~ -,- i r~,- ~.~ ~~DUCTIONS, AND ASSESSMENT DF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
;u~~2t`D~' 16 P~1 1~ 38
KATHLEEN M~i'IRLrP'vU CC)., Pf1
2160 CANTERBURY DR
MECHANICSBURG PA 17055-5767
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 IX AFP Q2-lll
DATE 11-20-2012
ESTATE OF MERRILL GREGORY
DATE OF DEATH 12-07-2011
FILE NUMBER 21 12-0463
COUNTY CUMBERLAND
SSN/DG 182-38-2179
ACN 11183189
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 ~
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: MERRILL GREGORY DATE OF DEATH:12-07-2011 COUNTY:CUMBERLAND
FILE NO.: 21 12-0463 S.S/D.C. NO.: 182-38-2179 ACN: 11183189
Tpx RETURN WAS: (X) ACCEPTED AS FILED < ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 166973-00
TYPE OF ACCOUNT: (X)SAVINGS ( ) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 02-24-1997
Account Balance
Percent Taxable
Amount Sub]ect to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
809.19
X 0.166
134.87
_ .00
134.87
x .DO
.00
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."
IHA LRCYIIJ:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+7
INTEREST/PEN PAID (-)
AMOUNT PAID
TOTAL TAX PAYMENT .00
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 OUE IS REFLECTED AS A "CREDIT" (CR), YOU MAV BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.