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HomeMy WebLinkAbout04-21-14 pennsylvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE to PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS DATE 04-21-2014 ESTATE OF BRUSSESE JR NICK DATE OF DEATH 07-31-2012 FILE NUMBER 21 12-0911 COUNTY CUMBERLAND SSN/DC 209-12-8055 BETH A PALMER ACN 13127312 810 MEADOW LN APPEAL BY DATE:06-20-2014 CAMP HILL PA 17011-1545 (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 C12-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 04-21-2014 ESTATE OF: BRUSSESE JR NICK DATE OF DEATH:07-31-2012 COUNTY:CUMBERLAND FILE NO. : 21 12-0911 S.S/D.C. NO. : 209-12-8055 ACN: 13127312 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: FULTON BANK NA ACCOUNT NO. : 1371-73671 TYPE OF ACCOUNT: ( X)SAVINGS C ) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 04-20-2007 Account Balance 1 ,611 .85 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 805.93 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 805.93 REGISTER OF WILLS AT THE Tax Rate x . 045 ABOVE ADDRESS. MAK-6 CHECK Tax Due 36.27 OR MONEY 6RRDER PAYMLE :tp� "REGISTER y-6F<�lI LLST)AGEEft-y TAX CREDITS: co -v — O PAYMENT RECEIPT DISCOUNT (+) rM (7 DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID M r\) M ITT 9 O ? x O O K-7JI r' rn r` D Lry y O .L INTEREST IS CHARGED THROUGH 04-29-2014 TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 36.27 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1 .08 TOTAL DUE 37.35 IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. \n\ IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.