HomeMy WebLinkAbout03-18-13 (2) NOTICE OF INHERITANCE TAX pen nsylvania
BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE 2
PO SOX 288681 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON BEY-15 8 EX AFP (12-12)
HARRISBURG PA 17128-0681 JOINTLY HELD OR TRUST ASSETS
RECORDED DEFT^E OE DATE 03-18-2013
REGISTER DE VJ' S, ESTATE OF EBERLY DIANE T
DATE OF DEATH 06-01-2011
art FILE NUMBER
10i3 �iflB 18 E+11 Z: L.�i COUNTY CUMBERLAND
SSN/DC a� j
LEE R EBERLY CLERK U ACN 12126686
57 OAKWOOD AVE npppplutAA�ulqC APPEAL BY DATE:05-17-2013
MECHANICSBURG PA 14455'c4'7S0 DT's''' (See reverse side underObjecdons)
CUMBERLAND Amount Remitted I�--�
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE j
CARLISLE PA 17013 {-
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CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS E�
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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 1 ''
ESTATE OF: EBERLY DIANE T DATE OF DEATH:06-01-2011 COUNTY:CUMBERLAND
FILE NO. : S.S/D.C. NO. : ACN: 12126686 fl
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: CITIZENS BANK OF PENNSYLVANIA ACCOUNT NO. : 6100714683
TYPE OF ACCOUNT: C )SAVINGS CXI CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 06-26-1975 j
Account Balance 21 ,969.26 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 01500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 10,984.63 UPPER PORTION OF THIS NOTICE
Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 10,984.63 REGISTER OF WILLS AT THE
.
ABOVE ADDRESS MAKE CHECK
Tax Rate x .15 ( i
Tax Due 1,647.69 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
BATE NUMBER INTEREST/PEN PAID C-)
F
f
I
:
INTEREST IS CHARGED THROUGH 03-26-2013 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 1,647.69 i
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 52.69
TOTAL DUE 1,700.38
I
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ds If
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). YOU MAY BE DUE A REFUND. {T
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. '