HomeMy WebLinkAbout09-30-13 (2) pennsytvania
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX ' ?" DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 290601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1549 IN AFP (12-12)
HARRISBURG PA 11126-0601 JOINTLY HELD OR TRUST ASSETS
RECORDED OFFICE OF
RECI - 'I OF ':LS DATE 09-23-2013
ESTATE OF BREITENBACH GERALDINE P
I DATE OF DEATH 10-15-2012
([j l3 Sri 30 P� �- 31 FILE NUMBER 21 12-1151
COUNTY CUMBERLAND
r,F,,� [sc SSN/DC
RAY A BRE`ii��WEN'BA'CH ACN 12158494
123 SEMINOIClE 0110 S' COUNT APPEAL BY DATE:11-22-2013
PONTIAC CUfABERln 4?iO4],-H41 (See reverseside under Objections)
Amount Remittedl— �
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 C12-12)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 09-23-2013
ESTATE OF%BREITENBACH GERALDINE P DATE OF DEATH:10-15-2012 COUNTY:CUMBERLAND
FILE NO. : 21 12-1151 S.S/D.C. NO. : ACN: 12158494
TAX RETURN WAS: (X) ACCEPTED AS FILED ' ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 29327-42
TYPE OF ACCOUNT: t )SAVINGS C ) CHECKING ( )TRUST ( X)TIME CERTIFICATE
DATE ESTABLISHED 12-20-2004
Account Balance 13,449.92 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.033 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 448.29 UPPER PORTION OF THIS NOTICE
Debts and Deductions . 00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 448.29 REGISTER OF WILLS AT THE
Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 20. 17 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT «) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-7
INTEREST IS CHARGED THROUGH 10-01-2013 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 20. 17
REVERSE SIDE OF THIS FORM INTEREST AND PEN. . 13
TOTAL DUE 20.30
r 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.