HomeMy WebLinkAbout03-18-13 (6)! 13W18 i 8 27
THOMAS F PTASZEK C jp i'9{1 C F y .L3 -
695 JULIE CT
MECHANICSBURG PA RIV90i;A :2 " IA,
CUMBERLAND Sir:., PA
DATE OF DEATH 11-29 -2012
FILE NUMBER 21 12 -1297
COUNTY CUMBERLAND
SSN /DC 208 -24 -4523
ACN 12167275
APPEAL BY DATE:05 -17 -2013
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE --§� RETAIN LOWER PORTION FOR YOUR RECORDS 4--
-------------------------------------------------------------------------------------------
REV -1548 EX AFP (12 -12)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 03 -18 -2013
ESTATE OF:PTASZEK
BARBARA E DATE OF DEATH:11 -29 -2012
COUNTY:CUMBERLAND
FILE NO.: 21 12 -1297 S.S /D.C. NO.: 208 -24 -4523 ACN: 12167275
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 403-63
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING O)TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 11 -10 -2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
20,366.81
X 1.000
20,366.81
.00
20,366.81
Y .045
916.51
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 ( -)
AMOUNT PAID
IR
Pennsylvania
BUREAU OF INDIVIDUAL TAXES
NOTICE OF INHERITANCE TAX
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
REV -1548 EX AFP (12 -12)
HARRISBURG PA 17128 -0601
JOINTLY HELD OR TRUST ASSETS
yE
OF! "ICE OF DATE 03 -18 -2013
BEv!
'yt �' ESTATE OF PTASZEK
BARBARA E
R
! 13W18 i 8 27
THOMAS F PTASZEK C jp i'9{1 C F y .L3 -
695 JULIE CT
MECHANICSBURG PA RIV90i;A :2 " IA,
CUMBERLAND Sir:., PA
DATE OF DEATH 11-29 -2012
FILE NUMBER 21 12 -1297
COUNTY CUMBERLAND
SSN /DC 208 -24 -4523
ACN 12167275
APPEAL BY DATE:05 -17 -2013
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE --§� RETAIN LOWER PORTION FOR YOUR RECORDS 4--
-------------------------------------------------------------------------------------------
REV -1548 EX AFP (12 -12)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 03 -18 -2013
ESTATE OF:PTASZEK
BARBARA E DATE OF DEATH:11 -29 -2012
COUNTY:CUMBERLAND
FILE NO.: 21 12 -1297 S.S /D.C. NO.: 208 -24 -4523 ACN: 12167275
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 403-63
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING O)TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 11 -10 -2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
20,366.81
X 1.000
20,366.81
.00
20,366.81
Y .045
916.51
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 ( -)
AMOUNT PAID
PAYMENT MUST BE MADE BY 08- 30- 2013 *.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 916.51
INTEREST AND PEN. .00
TOTAL DUE 916.51
* 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 FORM FOR INSTRUCTIONS.