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HomeMy WebLinkAbout09-17-12BUREAU DF INDIVIDUAL T ~L~,I' NOTICE OF INHERITANCE TAX pen nsylvania ~ S~(~~ r r~ r' INHERITANCE TAX DIVISION "-""'~-`, ~'~~_~P ISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE PO BOX 280601 ~C(y K;~~. ~' ('~- i) d EDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12 -1 L) HARRISBURG PA 17128-0601 C ~~''-' ~ "-' ~ `~' '''~ JOINTLY HELD OR TRUST ASSETS ~0lZSEP 17 PP9 I~ 50 DATE 09-17-2012 ESTATE OF HARRIS DAVID L DATE OF DEATH 09-13-2011 FILE NUMBER p~~ - ~ cZ - ~ a (~' "~`y~S ~Rr COUNTY CUMBERLAND BRETT D F,R~(~fp ~„ PA SSN/DC 177-52-3875 ACN 11:168399 833 NESBIT DR APPEAL BY DATE:11-16-2012 CARLISLE PA 17013-1732 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE _-__ 1 RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1548 EX AFP C12-111 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 09-17-2012 ESTATE OF: HARRIS DAVID L DATE OF DEATH:09-13-2011 COUNTY:CUMBERLAND FILE NO.: S.S/D.C. NO.: 177-52-3875 ACN: 11168399 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO.: 1025575673 TYPE OF ACCOUNT: ( )SAVINGS (X) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 05-29-2008 Account Balance 728.00 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 364.00 UPPER PORTION OF THIS NOTICE Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 364.00 REGISTER OF WILLS AT THE Tax Rate X 045 ABOVE ADDRESS. MAKE CHECK Tax Due 16.38 OR MONEY ORDER PAYABLE T0: TAX CREDITS: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID T NTFOCCT Tc ruwenrn ""' - l-LV1L AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 16.38 INTEREST AND PEN. .14 TOTAL DUE 16.52 ~ 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 ^F THIS FORM FOR INSTRUCTIONS.