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HomeMy WebLinkAbout04-21-14 NOTICE OF INHERITANCE TAX DEen615ytVPnia BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAI5EMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 FX AFP (12.131 HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS DATE 04-21-2014 ESTATE OF MATTSON WALTER E DATE OF DEATH 03-30-2013 FILE NUMBER 21 13.0665 COUNTY CUMBERLAND SSN/DC GREGORY MATTSON ACN 13126496 APT 2 APPEAL BY DATE:06-20-2014 16 PEACHTREE AVE HE (See reverse side under Objections) ATLANTA GA 30305-3021 Amount Remitted F 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-I3) 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:MATTSON WALTER E DATE OF DEATH:03-30-2013 COUNTY:CUMBERLAND FILE NO. : 21 13-0665 S.S/D.C. NO. : ACN: 13126496 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PSECU ACCOUNT NO. : 0159245129-S4 TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING C )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 06-01-1999 Account Balance 34,245.39 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 17,122.70 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYt�FNT TO THE Taxable Amount 17,122.70 REGISTERC9F WILLSEKT TAE= Tax Rate x .045 ABOVE ADDRW. MAp�YyE OflECK Tax Due 770.52 OR MONEY�RRWR PA?4LET0 "REGISTERW SnILL�', AGENV. TAX CREDITS: r— x* rn CO PAYMENT RECEIPT DISCOUNT t+y � r:1 Q O DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID C� _n C> C� C, '*T O 1-� r t� * ' r j N m INTEREST IS CHARGED THROUGH 04-29-2014 TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 770.52 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 7.58 TOTAL DUE 778.10 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.