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HomeMy WebLinkAbout02-19-13BUREAU OF INDIVIDUAL TAXES-CORDED OFF10 ~'V ~CE OF INHERITANCE TAX INHERITANCE TAX DIVISION REGISTER 6ePfj~~$F~M~,Nr, ALLOWANCE OR DISALLOWANCE PD BOX 2806u1 NS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS ~ pennsylvania DEPARTMENT OF REVEN UE REV-1548 IX AFP (12-ID 1013 FEB 19 Fi I~w ~~fT DATE oz-LB-zo13 CLERK 0' pp OyyRPHANS' CO!~R?' PAUL A MILL~R'BERLAND ~`~'° P?~I 1235 DOUBLING GAP RD NEWVILLE PA 17241-9723 ESTATE OF JOHNSON MAUDLEEN J DATE OF DEATH LO-25-2012 FILE NUMBER 21 13-0087 COUNTY CUMBERLAND SSN/DC ACN 12169468 APPEAL BY DATE:04-19-2013 (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 ~ RETAIN LOWER PORTION FOR YOUR RECORDS F REV-1548 EX AFP (12-12) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 02-18-2013 ESTATE OF:JOHNSON MAUDLEEN J DATE OF DEATH:10-25-2012 COUNTY:CUMBERLAND FILE NO.: 21 13-0087 S.S/D.C. NO.: 162-22-3538 ACN: 12169468 TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO.: 611425 TYPE OF ACCOUNT: ( )SAVINGS CX) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 03-20-1984 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 806.14 X 0.500 403.07 - nn 403.07 X .045 NOTE: TO ENSURE PROPER CREDIT TO 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." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID 01-22-2013 CD017084 .91 17.23 TOTAL TAX PAYMENT 18.14 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. * Y~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), VOU MAV BE DUE A REFUND. ~ SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.