HomeMy WebLinkAbout04-15-13 NOTICE OF N pennsylvania
BUREAU OF INDIVIDUAL TAXES 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
DATE 04-15-
RECORDED OFFICE OF ESTATE OF MUSSELMAN3 HAROLD
REGISTER OF WILLS DATE OF DEATH 05-01-2012
.FILE NUMBER 21 12-1049
D
� f Pt i v 3 SSN/DC
JACQUELIN MUSSELMAN ACN 12132052
235 CLAY RD CLERK OF APPEAL BY DATE:06-14-2013
CARLISLE P A GR P V 861b0 U R T (See reverse side under Objections)
Amount Remitted
CUMBERLAND CO., Fa
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)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 04-15-2013
ESTATE OF: MUSSELMAN HAROLD DATE OF DEATH:05-01-2012 COUNTY:CUMBERLAND
FILE NO. : 21 12-1049 S.S/D.C. NO. : 188-32-2776 ACN: 12132052
TAX RETURN WAS: (X) ACCEPTED AS FILED t ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 206539-00
TYPE OF ACCOUNT: CX}SAVINGS C ) CHECKING C )TRUST t )TIME CERTIFICATE
DATE ESTABLISHED 06-25-2001
Account Balance 595.88 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 99.32 UPPER PORTION OF THIS NOTICE
Debts and Deductions •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 99.32 REGISTER OF WILLS AT THE
Tax Rate x .00 ABOVE ADDRESS. MAKE CHECK
Tax Due •00 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
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.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), 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 �y D 1 ,/� D ASSESSMENT OF TAX ON REV-1548 EX AFP (12-12)
HARRISBURG PA 17128-0601 RECORD D O N�ULD OR TRUST ASSETS
REGISTER OF WILLS DATE 04-15-2013
ESTATE OF MUSSELMAN HAROLD
13 APR `C� � t m `� DEATH
FILE NUMBER 21-12 -1049
COUNTY CUMBERLAND
CLERK OF SSN/DC
JACQUELIN MUSSELMAtORPHANS"' COURT ACN 12132054
235 CLAY RD C����R���C CO P� APPEAL BY DATE:06-14-2013
CARLISLE P A `' (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
-------------------------------------------------------------------------------------------
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: 04-15-2013
ESTATE OF:MUSSELMAN HAROLD DATE OF DEATH:05-01-2012 COUNTY:CUMBERLAND
FILE NO. : 21 12-1049 S.S/D.C. NO. : 188-32-2776 ACN: 12132054
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 206539-11
TYPE OF ACCOUNT: ( )SAVINGS ( )0 CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 01-05-2010
Account Balance 739.46 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 123.25 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 123.25 REGISTER OF WILLS AT THE
Tax Rate x .00 ABOVE ADDRESS. MAKE CHECK
Tax Due .00 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
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.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.