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HomeMy WebLinkAbout04-07-14 pennsylvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE 2 PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-15) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS DATE 04-07-2014 ESTATE OF SIMOKAT PATRICIA A DATE OF DEATH 09-09-2013 FILE NUMBER 21 13-1268 COUNTY CUMBERLAND SSN/DC LINDA J CALABRO ACN 14106241 2459 SAINT AUGUSTINE BL APPEAL BY DATE:06-06-2014 HAINES CITY FL 33844-2420 (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-1546 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: 04-07-2014 ESTATE OF:SIMOKAT PATRICIA A DATE OF DEATH:09-09-2013 COUNTY:CUMBERLAND FILE NO. : 21 13-1268 S.S/D.C. NO. : ACN: 14106241 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: AMERICHOICE FCU ACCOUNT NO. : 36225 TYPE OF ACCOUNT: ( X)SAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 06-04-2004 Account Balance 6,303. 10 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 3,151.55 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 3, 151.55 REGISTER OF WILLS AT THE Tax Rate X . 12 ABOVE ADDRESS. MAKE CHECK Tax Due 378. 19 OR MONEY ORDER- PAWLE TO: "REGISTEf@)F WILD AGBNf,0" TAX CREDITS: k O m O PAYMENT RECEIPT DISCOUNT o CaD DATE NUMBER INTEREST/PEN PAID AMOUNT PAID m C7 D (-) � Cn b ' 02-21-2014 CDO18807 .00 378. 19 y M -J M p Z x C3 O i -TI -T -n 3 T o _ C'> 1 r m 'D N � O t D Cp n i TOTAL TAX PAYMENT 378. 19 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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. �UvW)