HomeMy WebLinkAbout01-14-13BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BO% 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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DEPARTMENT Of REVENUE
REV-1548 EX AFP (12 -12)
RECI$zF ~, ~- ,_., DATE 01-14-2013
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1101 LINOHAQ ~BERL~~j',• P--^~
M ECHANICSBURG PA 55=3422
WAYNE
DATE OF DEATH 01-01-2012
FILE NUMBER 21 12-0325
COUNTY CUMBERLAND
SSN/DC 191-26-6575
ACN 12110855
APPEAL BY DATE:03-15-2013
(See reverse side under Objecfions)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
E
CUT ALONG THIS LINE----- ~-/ RETAIN LOWER PORTION FOR YOUR RECORDS F
REV-1548 EX AFP C12-12)
N07ICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF 7AX ON JOINTLY HELD OR TRUST ASSETS
DATE: 01-14-2013
ESTATE OF:LONG WAYNE E DATE OF DEATH:OI-O1-2012 COUNTY:CUMBERLAND
FILE NO.: 21 12-0325 S.S/D.C. NO.: 191-26-6575
ACN: 12110855
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR 7R US7 ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO.: 149000679
TYPE OF ACCOUNT: ( )SAVINGS ( b CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 08-11-2010
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDTTS~
46,610 62
X 0 166
7,768 59
- 00
7,768 59
Y 00
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."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT
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 DUE IS REFLECTED AS A •'CREDIT" (CR), VOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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