HomeMy WebLinkAbout03-08-13INHERITANCE TAX
JOINTLY HELD ORJ TRUST ASSETS ~ PEn11SJ/LVcln18
BUREAU OF INDIVIDUAL TAXES ~ DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
PO BOX 280601 REV-1604 EX AFP (12-12)
HARRISBURG PA 17128-0601
DATE 02-26-2013
RECORC}~.C C1=1"I~c aFESTATE OF OMMERT ISABELLE F
REGISTER OF '~''i~.LS DATE OF DEATH 09-17-2011
FILE NUMBER 21 11-1007
COUNTY CUMBERLAND
ROBERT W OMMERT :,Ji~ (1RR 8 ~~ ~ ~~SSN/DC
APT 3315 ACN 12107865
325 WESLEY DR CLERK a Amount Remitted
MECHANICSBURG PA 1705~~NS' CaURT
CUMBERLAND Ca., FAMAKE 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•
EV - 1 6 0 4 EX AFP C 1 2- 1 2) -------------------------
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ~*
DATE• 02-26-2013
ESTATE OF: OMMERT ISABELLE F DATE OF DEATH: 09-17-2011• COUNTY:
CUMBERLAND
FILE NO.: 21 11-1007 S.S/D.C. N0.
ADJUSTMENT BASED ON: ACN: 12107865
PROTEST BOARD DECISION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK
ACCOUNT NO.: 0354000820
TYPE OF ACCOUNT: CX) SAVINGS C ) CHECKING C ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 01-01-1971
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
.00
X 0.500
.00
- .00
.00
X .15
.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 ADDRESS SHOWN ABOVE.
MAKE CHECK OR MONEY ORDER PAYABLE
T0: "REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
INTEREST%PENT PAID C-)
AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE
.00
INTEREST AND PEN.
.00
TOTAL DUE
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATIDN OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A
"CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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