HomeMy WebLinkAbout10-07-13 (3) NOTICE OF INHERITANCE T,� � pennsylvania
BUREAU OF INDIVIDUAL TAXES DE�ARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO dOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 D( AFP C12-12)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
DATE 10-07-2013
ESTATE OF BAKER MARTIN E
DATE OF DEATH 10-27-2012
FILE NUMBER 21 12-1206
COUNTY CUMBERLAND
SSN/DC
CHERYL L BAKER ACN 12161622
121 BRIAN DR APPEAL BY DATE:12-06-2013
E N 0 L A P A 17 0 2 5-15 6 5 (See reverse side under Objections)
A�ount Re�itted -�
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WItLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON6 THIS LINE � RETAIN L�WER P�RTION FOR YOUR RECORDS �
REV-1548 EX AFP C12-12)--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIDNS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS :
DATE: 10-07=2013
�..-._,�, �_
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ESTATE OF:BAKER MARTIN E DATE OF DEATH:10-27-2012 COUNTY:CUMBERLAND
FILE NO. : ' 21 12-1206 S.S/D.C. NO. : 201-18-0632 ACN: 12161622
�
TAX RETURN WAS: CX� ACCEPTED AS FI�ED C ) CHANGED .
II �
JOINT OR TRUST ASSET INFORMATION
FINANCIAL� INSTITUTIUN: MEMBERS 1ST FCU ACCOUNT NO. : 7108-41
TYPE OF ACCDUNT: C )SAVINGS C ) CHECKING OTRUST C b TIME CERTIFICATE
DATE ESTABLISHED 11-30-2004
C� c� �� rn
Account Balance 25,110.02 NOTE: TO E�U� PROF�ER CRf�T TO
Percent Taxable X 0.16:6 YOUR I�C�UNT, �i1BM�fF �IE
Amount Subject to Tax 4,185.09 UPPEti�'�T�ON OF TI�j3"�NOTICE
Debts and Deductions - .00 WITH G� �►X 'P�YM�T�TO THE
Taxable Amount 4,185.09 REGIS�i��WI' lS �IE
"'�7 �
Tax Rate Y � .045 ABOVE�I�R�SS�.�AK.��-,� G�IECK
Tax Due 188.33 OR MO�1�O�DER P�YA�t.�TO:
"REGI�TE� OF WILLS,�I�NT."
TAX CREDITS: � "� � -r�
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
11-15-2012 CD016792 9.42 178.91
TOTAL TAX PAYMENT 188.33
� BALANCE �F 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. �`Q
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. �1�