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HomeMy WebLinkAbout03-10-14 pennsylvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE 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 03-10-2014 ESTATE OF BLACK JOYCE K DATE OF DEATH 11-07-2013 FILE NUMBER 21 13-1253 COUNTY CUMBERLAND SSN/DC JOHN L BLACK ACN 13169834 760 E CATHERINE ST APPEAL BY DATE:05-09-2014 CHAMBERSBURG PA 17201-2704 (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 (12-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 03-10-2014 ESTATE OF: BLACK JOYCE K DATE OF DEATH:11-07-2013 COUNTY:CUMBERLAND FILE NO. : 21 13-1253 S.S/D.C. NO. : ACN: 13169834 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 67644-05 TYPE OF ACCOUNT: ))SAVINGS ( ) CHECKING ( )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 11-17-1992 Account Balance 11,311 .67 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 1 ,885.32 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 1,885.32 REGISTER OF WILLS AT THE Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK Tax Due 84.84 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: r.) PAYMENT RECEIPT DISCOUNT (+) - DATE NUMBER INTEREST/PEN PAID (J AMOUNT PAID C zc 0D m :0 r --a l7 O 'J7 17:7 y `n O PAYMENT MUST BE MADE BY 08-08-2014X. TOTAL TAX PAYMENT .00 BALANCE OF TAX DYEI 84.84 INTEREST AND PEN. . DO TOTAL DUE 84.84 IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ` IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.