HomeMy WebLinkAbout03-10-14 (2) NOTICE OF INHERITANCE TAX - @n nSytV8n1a
BUREAU OF INDIVIDUAL TAXES DEPARTMENT Of REVENUE
INHERITANCE TAX OIVIBZON APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280661 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 13169832
760 E CATHERINE ST APPEAL BY DATE:05-09-2014
CHAMBERSBURG PA 17201-2704 (See reverse side underObjecdons)
Amount Remitted —�
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I 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: 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: 13169832
TAX RETURN WAS: "(X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 67644-11
TYPE OF ACCOUNT: L )SAVINGS CX) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 03-10-2008
Account Balance 1,581 .70 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 263.62 UPPER PORTION OF THIS NOTICE
Debts and Deductions . 00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 263.62 REGISTER OF WILLS AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 11 .86 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS: C3 _
PAYMENT RECEIPT DISCOUNT (+) t Tt
DATE NUMBER INTEREST/PEN PAID (-J AMOUNT PAID rr?
G% J
O
C7
PAYMENT MUST BE MADE BY 08-08-2014-. TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 11 .86
INTEREST AND PEN. .00
TOTAL DUE 11 .86
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.