HomeMy WebLinkAbout02-06-13C 1~ C /~ C
~.E~A~~DED Q!' ~jC~ V(' NOTICE OF INHERITANCE TAX ~ pennsyLvania
BUREAU DF INDIVIDU DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISIOI~E~+(J''~'~~ ~~ 1V~ ~DF-~DUCTIONS,AANDWASSESSMENTSOFLTAXNON
PO BOX 280601 of REV-1548 EX AFP (12-12)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
~t~t3 ~EU ~ `~ ~ ~1 DATE 02-04-2013
CLERK OF
ORPHANS' COURT
JUDITH ~~ oBERLAND GO., PA
600 CARBON AVE
HARRISBURG PA 17111-4525
ESTATE OF DAUGHENBAUGH SUSAN
DATE OF DEATH 11-18-2012
FILE NUMBER 21 13-0002
COUNTY CUMBERLAND
SSN/DC
ACN 12168455
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 ~ 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:DAUGHENBAUGH SUSAN DATE OF DEATH:11-18-2012
FILE NO.: 21 13-0002 S.S/D.C. NO.:
ACN: 12168455
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU ACCOUNT NO.: 0195346073-S4
TYPE OF ACCOUNT: C )SAVINGS (X) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 11-09-1988
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
3,950.92
X 0.166
658.50
- .00
658.50
x .12
79.02
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 CD016989 3.95 75.07
TOTAL TAX PAYMENT 79.02
BALANCE DF 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), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FDRM FOR INSTRUCTIONS.
CDUNTY:CUMBERLAND
~.J'~