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HomeMy WebLinkAbout11-16-12rJ[~ ~I' `_!_ v '~t/4 0~ Pennsylvania ~ i'`~ ~ NOTICE OF INHERITANCE TAX DEPARTMENT OF REVEN UE BUREAU OF INDIVIDUAL T~~ i~I ?~ ~I~~PRAISEMENT. ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIVISION ~'f'„!,,, ~,~.; _.., .. ~ REV-1548 EX AFP (12-11) PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 11128-0601 JOINTLY HELD OR TRUST ASSETS .'~j;~~i~~,6 ~~ ~~JB DATE 11-20-2012 ESTATE OF COONS CLARENCE C DATE OF DEATH 08-15-2012 FILE NUMBER 21 12-1146 Qtii'H71'v'~ '. 'J H1~. ~~ COUNTY CUMBERLAND Ct11v9L`'S~f?L,wNI; (~~„ Pp SSN/DC 184-24-0420 DANIEL J COONS ACN 12154988 91 N MAIN ST APPEAL BY DATE:O1-19-2013 MARYSVILLE PA 17053-1902 (See reverse side underObjecrions) Amount Re~itted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS F 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: 11-20-2012 ESTATE OF:000NS CLARENCE C DATE OF DEATH:08-15-2012 COUNTY:CUMBERLAND FILE ND.: 21 12-1146 S.S/D.C. NO.: 184-24-0420 ACN: 12154988 TAX RETURN WAS: (X) ACCEPTED AS FILED I ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: BELCO COMMUNITY CREDIT UNION ACCOUNT NO.: 064480 TYPE OF ACCOUNT: C )SAVINGS ( b CHECKING C )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 09-25-1972 Account Balance Percent Taxable Amount SubJect to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due 5,032.07 X 0.166 838.70 _ .00 838.70 x .845 37.74 NOTE: TO ENSURE PROPER CREDIT TD YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." IAX LKtUII~: PAYMENT DATE RECEIPT NUMBER DISCOUNT I+7 INTEREST/PEN PAID (-) AMOUNT PAID 10-25-2012 CD016691 1.89 35.85 TOTAL TAX PAYMENT 37.74 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ~~`~~ ~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION DF ADDITIONAL INTEREST. ~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" ILR7, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE DF THIS FORM FOR INSTRUCTIONS.