HomeMy WebLinkAbout01-21-14 r , pennsylvania
BUREAU OF INDIVIDUAL TAXES NOTICE OP INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE _..
PO Box 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 Px AFP (I2-13)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
pt6[TE 01-20-2014
RECORDED DFF1C1TATE OF SHIELDS DOUGLAS M
REGISTER` DFF�ryFrl;- LE NUMBERTH 06-16-2012- WlW
MARGARET SHIELDS =� SRN 21 �� k 2 qQ DC 287- 4848
APT 305 CLERK Of APPEAL BY DATE:03-21-2014
LRN RD 7SRRANS� COURT A (See reverse e [under
e "Objections)
CAMP HILL PA 17011-
CUMBERLAND CO.14Aunt Remitted [-
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 (�
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REV-1548 EX AFP C12-13)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 01-20-2014
ESTATE OF:SHIELDS DOUGLAS M DATE OF DEATH:06-16-2012 COUNTY:CUMBERLAND
FILE NO. : S.S/D.C. NO. : 287-36-7848 ACN: 13108284
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO. : 1771070811
TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 03-02-2012
Account Balance 21 ,277.95 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 1.000 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 21 ,277.95 UPPER PORTION OF THIS NOTICE
Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 21,277.95 REGISTER OF WILLS AT THE
Tax Rate v .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. \`1N
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.