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HomeMy WebLinkAbout04-19-13 pennsylvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS, ��SMENT OF TAX ON REV-1548 IX AFP C12-12) HARRISBURG PA 17128-0601 ' ti� `VL 'H� R"1'RUST ASSETS i� BEMIS-ftf, Of )all ATE 04-22-2013 Q pp ESTATE OF EBERLY DIANE T {� itM J'F�� NUMBER 21-12-S20 06-01-2011 r-12-S20 COUNTY CUMBERLAND LEE R EBERLY GLERK OF SSN/DC 172-28-8119 57 OAKWOOD AVE ORPHANS COU' CN 12133708 MECHANICSBURG PA 17055- ��ER�.Q��D Co., PA APPEAL BY DATE:06-21-2013 q) (See reverse side under Objections) 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: 04-22-2013 ESTATE OF: EBERLY DIANE T DATE OF DEATH:06-01-2011 COUNTY:CUMBERLAND FILE NO. : S.S/D.C. NO. : 172-28-8119 ACN: 12133708 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: CITIZENS BANK OF PENNSYLVANIA ACCOUNT NO. : 6231189396 TYPE OF ACCOUNT: C )SAVINGS ( X) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 09-01-2010 Account Balance 231,336.11 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 1.000 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 231,336.11 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 231,336.11 REGISTER OF WILLS AT THE Tax Rate x .00 ABOVE ADDRESS. MAKE CHECK Tax Due .00 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 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. by) SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.