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HomeMy WebLinkAbout10-09-12 fCC~ . } OFFICE OF pennsyLvania „ BUREAU OF INDIVIDUAL TAXES RE -t 1 41 QTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE , INHERITANCE TAX DIVISION 'AP~RAI' ~t1ENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-11) HARRISBURG PA 17128-0601 2612 OCT _9 pM 17 f HELD OR TRUST ASSETS L `J2 DATE 10-08-2012 ESTATE OF KEATLEY MARY DATE OF DEATH 03-22-2012 ORPHAN'S u0 1. RT FILE NUMBER 21 12-0666 CUMBERL MD CO., PA COUNTY CUMBERLAND SSN/DC 194-01-8387 ELIZABETH K ADAMS ACN 12128746 719 ALBERTA AVE APPEAL BY DATE:12-07-2012 MECHANICSBURG PA 17050-2272 (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 C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-08-2012 ESTATE OF:KEATLEY MARY DATE OF DEATH:03-22-2012 COUNTY:CUMBERLAND FILE NO.: 21 12-0666 S.S/D.C. NO.: 194-01-8387 ACN: 12128746 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO.: 5070023235 TYPE OF ACCOUNT: C )SAVINGS (X) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 01-01-1979 Account Balance 4,488.00 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 2,244.00 UPPER PORTION OF THIS NOTICE Debts and Deductions - 1,117.44 WITH YOUR TAX PAYMENT TO THE Taxable Amount 1,126.56 REGISTER OF WILLS AT THE Tax Rate x .15 ABOVE ADDRESS. MAKE CHECK Tax Due 168.98 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID 06-11-2012 CDO16099 8.45 160.53 TOTAL TAX PAYMENT 168.98 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.