HomeMy WebLinkAbout11-16-12 C
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OF INHERITANCE TAX DEPARTMENT OF REVENUE ~
IDUAL NOTICE
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TA~~ 1, i~ OWANCE
BUREAU OF INDIV
IVISION - _ ,APP eAISEMENT,
i ~~91 ALLOWANCE OR DISALL
REV-1548 EX AFP u2-11)
INHERITANCE TAX D II
5'~ '~~' ': b'~.~.-EDU CTIONS
P1-~
, AND ASSESSMENT OF TAX ON
PO BO% 280601
HARRISBURG PA 17128-0601 .
JOINTLY HELD OR TRUST ASSETS
.. i,'i~h~l~ ~b PI~ ~I J~i DATE 11-20-2012
ESTATE OF MUSSELMAN HAROLD
DATE OF DEATH 05-01-2012
FILE NUMBER 21 12-1049
~ COUNTY CUMBERLAND
1~a~~vlr.iP'r
~,~i~'F SSN/DC 188-32-2776
~~
~48€~~Af~~u C~- PA ACN 12132051
AMANDA APPEAL BY DATE:O1-19-2013
235 CLAY RD (See reverse side under Objections)
CARLISLE PA 17015-9468 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 I12-11)
DEDUCTIONSINANDIASSESSMENTAOFRTAXEONNJOINTLYWHELD OR TRUSTLASSETS OF
DATE: 11-20-2012
ESTATE OF: MUSSELMAN HAROLD DATE OF DEATH:05-O1-2012
FTIF NO.: JI 77-7049 S.S/D.C. NO.: 188-32-2776
COUNTY:CUMBERLAND
ACN: 12132051
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 206539-00
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 06-25-2001
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
595.88
X 0.166
99.32
100.00
.00
X .045
.00
NOTE: TO ENSURE PROPER CREDIT TO
YDUR 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."
IAX I,KtU11J:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID C-7
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 DUE IS REFLECTED AS A "CREDIT" CCRJr VOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.