HomeMy WebLinkAbout01-14-13 (2)BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 1]128-0601 JOINTLY HELD OR TRUST ASSETS
RECG~;C`"L ~,"" Cr
PATRICIA A LONG
APT 507
1101 LINDHAM CT
MECHANICSBURG
[Ui3 Jfl~~ 1`i ~'l 12 ~5
~ Pennsylvania
DEPARTMENT OF REVENUE
REV-1548 IX AFP (12 -12)
- '~'--~' DATE 01-14-2013
REraiS!~C Vf '. ~.~.~ ESTATE OF LONG WAYNE
ORP~I~iv~S' CC~;iT
DATE OF DEATH 01-01-2012
FILE NUMBER 21 12-0325
COUNTY CUMBERLAND
SSN/DC 191-26-6575
ACN 12110857
APPEAL BV DATE:03-15-2013
(See reverse side under Objections)
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 !"~
REV-1548 EX AFP C12-12) - ----"--"-""-" " "-----------------'-'--__-______---_________
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX 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: 12110857
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO.: 4410641501
TYPE OF ACCOUNT: ( )SAVINGS (X) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 07-21-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
25,026 74
X 0 166
4,171 21
00
4,171 21
X 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 TO:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMDUNT 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 "CREDI T•' (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.