HomeMy WebLinkAbout01-14-13NOTICE OF INHERITANCE TAX ~ Pennsylvania
BUREAU OF INDIVIDUAL TAXES {'.1i
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVEN UE
PD BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12 -12)
HARRISBURG PA IT128-0601 JOINTLY HELD OR TRUST ASSETS
RECIS?=;; u -
:j
MARY J FORTNE Y'V '` + ( ' 1
L: ~
1502 TIMBER CHASE DAR pp"~
MECHANICSBURG ,~ppA.~~OBD+afi91
CUMBERl~t ~,+,~ '
DATE 01-14-2013
ESTATE OF FORTNEY SR LEE E
DATE OF DEATH 01-23-2012
FILE NUMBER 21 12-0133
COUNTY CUMBERLAND
SSN/DC 195-16-4980
ACN 12110293
APPEAL BY DATE:03-15-2013
(See reverse side under Objections)
Amount Reeitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON6 THIS LINE--_-- ~-- RETAIN LOWER PORTION FOR YOUR RECORDS (~
REV-1548 EX AFP C12-12) '-'-- " ----'--'___________________'-----'-'--'--'--'-----_______
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR 7RUST ASSETS
DATE: 01-14-2013
ESTATE OF:FORTNEY SR LEE E DATE OF DEATH:O1-23-2012 COUNTY:CUMBERLAND
FILE NO.: 21 12-0133 S.S/D.C. NO.: 195-16-4980 ACN: 12110293
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: M 8 T BANK ACCOUNT NO.: 31003914578140
TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST (X3TIME CERTIFICATE
DATE ESTABLISHED 08-25-1997
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
14,602 37
X 0 500
7,301 19
7,301 19
Y 045
328 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 (+)
INTEREST/PEN PAID I-)
AMOUNT PAID
INTEREST TS rNeRr_on ruu niiru ,.
AT THE RATES APPLICABLE AS OUTLINEDVON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 328.55
INTEREST AND PEN. 2.45
TOTAL DUE 331.00
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
IF TOTAL DUE IS REFLECTED AS A ^CREDIT" (CR), VDU MAY BE DUE A REFUND. Q
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. 1