HomeMy WebLinkAbout06-24-13 NOTICE OF INHERITANCE TAX � pennsylvania
EUREAU DF INDIVIDUAL TAXES APPRAISEMENT, ALL�WANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIYISION
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 DC AFP C12-12)
HARRISBURG PA 17128-0601 JOINTLY HE����R�$.T ASSETS
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������,��� ��. �,�����'�A 06-24-2013
TE OF COHEN DORIS M
DATE OF DEATH 07-20-2009
tt'�i3 ��� �� �� �I���YUMBER CUMBERLAND
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SSN/DC
MARY F GRONKIEWICZ G�..�R� �� ACN 13109396
1209 STRATFORD DR a�pNd��' �;�}��Y APPEAL BY DATE:08-23-2013
C A R L I S L E P A 17 013-3�¢,5�,��R���D �p,+ P�See reverse side under Objections)
u�"� 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 �
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REV-1548 EX AFP C12-12�
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX �N JOINTLY HELD OR TRUST ASSETS
DATE: 06-24-2013
ESTATE OF:COHEN DORIS M DATE OF DEATH:07-20-2009 COUNTY:CUMBERLAND
FILE NO. : 21 10-0975 S.S/D.C. NO. : ACN: 13109396
TAX RETURN WAS: CX) ACCEPTED AS FILED O CHANGED
.fOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO. : 106002780
TYPE OF ACCUUNT: t }SAVINGS ( � CHECKING C )TRUST C �TIME CERTIFICATE
DATE ESTABLISHED 10-05-2002
Account Balance 4,306.30 NOTE: T� ENSURE PROPER CREDIT TO
Percent Taxable X 0.50D YOUR ACCOUNT, SUBMIT THE
Amaunt Subject to Tax 2,153.15 UPPER P�RTION OF THIS NOTICE
Debts and Deductions ' •�� WITH YDUR TAX PAYMENT TO THE
Taxable Amount 2,153.15 REGISTER OF WILLS AT THE
Tax Rate x . 15 ABOVE ADDRESS. MAKE CHECK
Tax Due 322•47 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
04-22-2013 CD017481 .00 322.97
BALANCE OF UNPAID INTEREST/PENALTY AS OF 04-23-2013 TOTAL TAX PAYMENT 322.97
BALANCE OF TAX DUE .00
INTEREST AND PEN. 31.38
TOTAL DUE 31.38
* 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.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.