HomeMy WebLinkAbout03-08-13~~' Pennsylvania
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BDX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-12)
HARRISBURG PA 17128-0601 REC~l~~L~ tt~~~u~°~~Ly HELD OR TRUST ASSETS
R F f; l ~ ~'- =-'~ (" r `i' S ?C! i/~i- DATE 0 3 - 1 1 - 2 013
~~'3 i`~~~ 8 Fib i `i1
STEPHEN A JUZBASICC~'~~~ ~`~ _
142 16TH ST ~~i`~t+~~:i~ ~v ~~-'~
NEW CUMBERLAND ~,~~y'a~~,~Q~'~.~A~., ~'.',
ESTATE OF JUZBASIC STEPHEN A
DATE OF DEATH LO-18-2012
FILE NUMBER 21 12-1179
COUNTY CUMBERLAND
SSN/DC
ACN 13105662
APPEAL BY DATE:05-10-2013
(See reverse side under Objections)
Amount Reeitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS F~
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REV-1548 EX AFP C12-12)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLDWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 03-11-2013
ESTATE OF:JUZBASIC STEPHEN A DATE OF DEATH:10-18-2012
FILE NO.: 21 12-1179 S.S/D.C. NO.:
COUNTY:CUMBERLAND
ACN: 13105662
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.: 0775514953
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING ( )TRUST CX)TIME CERTIFICATE
DATE ESTABLISHED 08-31-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
11,012.73 NOTE:
X 0.500
5,506.37
- .00
5,506.37
y .045
247.79
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 C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
02-08-2013 CD017161 .00 247.79
TOTAL TAX PAYMENT 247.79
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" CCR). YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.