HomeMy WebLinkAbout02-06-13 (3)~ Pennsylvania
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 E~ TIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-12)
HARRISBURG PA 17128-0601 RECORt~ED OFFP~~ Vj~INTLY HELD OR TRUST ASSETS
REGISTER OF ~1LLS
~~13 FE8 fi P(~ I y1.
CLERK OF'
JOSEPH M B~1~PSM COURT
CARL ISLEASAI~TuB'FD~RL170~3 1'~2~A
DATE 02-04-2013
ESTATE OF BREITENBACH GERALDINE P
DATE OF DEATH 10-15-2012
FILE NUMBER 21 12-1151
COUNTY CUMBERLAND
SSN/DC
ACN 12158491
APPEAL BY DATE:04-05-2013
(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 "'1 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: 02-04-2013
ESTATE OF:BREITENBACH GERALDINE P DATE OF DEATH:10-15-2012 COUNTY:CUMBERLAND
FILE NO.: 21 12-1151 S.S/D.C. NO.:
ACN: 12158491
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.:
29327-05
TYPE OF ACCOUNT: CX)SAVINGS ( ) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 12-17-1993
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
25,297.37
X 0.500
12,648.69
- .00
12,648.69
x .045
569.19
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 C-)
AMOUNT PAID
12-31-2012 CD016981 28.46 540.73
TOTAL TAX PAYMENT 569.19
BALANCE OF TAX DUE .00
INTEREST AND PEN. .DO
TOTAL DUE .00
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.