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HomeMy WebLinkAbout12-21-12 (3) ~Y pennsyLvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 IX AFP (12-12) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS OF DATE 12-25-2012 e7 ESTATE OF LUDES MARY W DATE OF DEATH 04-08-2011 H- '2 1 }r7 FILE NUMBER 21 11-0466 i~ 1 ( COUNTY CUMBERLAND SSN/DC 205-07-0468 VALERIE KLINE CL,; ACN 12003113 _^c, - APPEAL BY DATE:02-23-2013 9 WINTHROP RD " it N Z) L, U- D A R B Y 14 W (See reverse side under Objections) CC~I ~'E3 N J •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: 12-25-2012 ESTATE OF:LUDES MARY W DATE OF DEATH:04-08-2011 COUNTY:CUMBERLAND FILE NO.: 21 11-0466 S.S/D.C. NO.: 205-07-0468 ACN: 12003113 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: SECURITY BENEFIT LIFE ADVISORS ACCOUNT NO.: ANNUITY TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 04-08-2011 Account Balance 41,397.26 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 1.000 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 41,397.26 UPPER PORTION OF THIS NOTICE Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 41,397.26 REGISTER OF WILLS AT THE Tax Rate x .15 ABOVE ADDRESS. MAKE CHECK Tax Due 6,209.59 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID INTEREST IS CHARGED THROUGH 01-02-2013 TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 6,209.59 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 183.31 TOTAL DUE 6,392.90 * 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.