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HomeMy WebLinkAbout03-18-13 _ � im�mBBml NOTICE OF INHERITANCE TAX pennsylvanE BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION REV-1548 IX AFP (12.12) PO BOX 280681 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS RECORDED ^� DATE 03-18-2013 REGISTER 01' °i1' $ ESTATE ODEATN EBERLY2011 DIANE T i7Gi3 t :fl� lU � COUNTY CUMBERLAND CUMBERLAND SSN/DC LEE R EBERLY CLEy� ACM 12126685 57 OAKWOOD AVE �Ly1A G.OS'r.,`1- APPEAL BY DATE:05-17-2013 MECHANICSBURG PA 10W8"4� (See reverse side underObjecdons) CUMBERLAND CO., PA 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: 03-18-2013 i ESTATE OF: EBERLY DIANE T DATE OF DEATH:06-01-2011 COUNTY:CUMBERLAND j i FILE NO. : S.S/D.C. ACN: 12126685 TAX RETURN WAS: (X) ACCEPTED AS FILED C 3 CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: CITIZENS BANK OF PENNSYLVANIA ACCOUNT NO. : 6100707725 I' TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 03-09-1992 Account Balance 8,220.01 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 4,110.01 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 4,110.01 REGISTER OF WILLS AT THE Tax Rate v .15 ABOVE ADDRESS. MAKE CHECK Tax Due 616.50 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID i INTEREST IS CHARGED THROUGH 03-26-2013 TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 616.50 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 19.72 TOTAL DUE 636.22 • IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. • ,d IF TOTAL DUE IS REFLECTED AS A "CREDIT' (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.