HomeMy WebLinkAbout04-26-13 NOTICE OF INHERITANCE TAX pennsyLvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
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
R E C 0 FR,D'- D 0 F I C E OF DATE 04-29-2013
1
P%E'1�*IS'T il 0 7 t1 i # ESTATE OF BLOUVET HAROLD R
DATE OF DEATH 04-03-2012
FILE
9PR 2 PM 1 u 7 COUNTY NUMBER CUMBERLAND
SSN/DC 080-26-9895
EDITH M BLOUVET CLERK 01' ACN 12133839
APT 300 ORPHANS' COURT APPEAL BY DATE:06-28-2013
35 EASTGATE DR (see reverse side under Objections)
CARLISLE CO., PA Amount Remitted r
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
REV-1548 EX AFP C12-12�
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NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 04-29-2013
ESTATE OF:BLOUVET HAROLD R DATE OF DEATH:04-03-2012 COUNTY:CUMBERLAND
FILE NO. : S.S/D.C. NO. : 080-26-9895 ACN: 12133839
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO. : 106005110
TYPE OF ACCOUNT: C )SAVINGS ( )0 CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 12-04-2008
Account Balance 555.73 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 92.62 UPPER PORTION OF THIS NOTICE
Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 92.62 REGISTER OF WILLS AT THE
Tax Rate y .00 ABOVE ADDRESS. MAKE CHECK
Tax Due .00 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID- (--)_ I
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. C�
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
pennsylvania
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE iff
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
REC0R e°" t# 71° E OF DATE 04-29-2013
R 1 ;, ''s` �_° ESTATE OF BLOUVET HAROLD R
p *� DATE OF DEATH 04-03-2012
.1'013 91 pR 26 PM 1 {�U f COUNTYUMBER CUMBERLAND
SSN/DC 080-26-9895
LINDA J WILLIAMS CLERK _; ACN 12133840
8927 JAMESON ST Anpw N{ APPEAL BY DATE:06-28-2013
L 0 R T 0 N YR 724 7'�3 (See reverse side under Objections)
CUMBERLAND CO., PA' 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 +—
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REV-1548 EX AFP {12-22)
NOTICE OF INHERITANCE TAX APPRAISEMENT: ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 04-29-2013
ESTATE OF: BLOUVET HAROLD R DATE OF DEATH:04-03-2012 COUNTY:CUMBERLAND
FILE NO. : S.S/D.C. NO. : 080-26-9895 ACN: 12133840
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO. : 106005110
TYPE OF ACCOUNT: ( )SAVINGS { )} CHECKING { )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 12-04-2008
Account Balance 555.73 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 92.b2 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 92.62 REGISTER OF WILLS AT THE
Tax Rate Y •15 ABOVE ADDRESS. MAKE CHECK
Tax Due 13.89 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
INTEREST IS CHARGED THROUGH 05-07-2013 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 13.89
REVERSE SIDE OF THIS FORM INTEREST AND PEN. .14
TOTAL DUE 14.03
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.