HomeMy WebLinkAbout04-21-14 (2) BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX pennsylvania DEPARTMENT OF REVENUE
INHERITANCE TAX nIYISION 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 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 13126497
APT 2 APPEAL BY DATE:06-20-2014
16 PEACHTREE AVE NE (See reverse side underObjecdons)
ATLANTA GA 30305-3D21 Amount Remitted F7 —�
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 F
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REV-1548 EX AFP 012-13)
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:MATTSON WALTER E DATE OF DEATH:03-30-2013 COUNTY:CUMBERLAND
FILE NO. : 21 13-0665 S.S/D.C. NO. : ACN: 13126497
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU ACCOUNT NO. : 0159245129-S7
TYPE OF ACCOUNT: ( X)SAVINGS ( ) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 07-07-2004
Account Balance 21,109.63 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SU#WT THE
Amount Subject to Tax 10,554.82 UPPER POTION OF �fHIS,:,y4r E
Debts and Deductions - . 00 WITH YOU$ '�X PAY N T r-7 0:->T H E'
Taxable Amount 10,554.82 REGISTER5?F�ZgWILLY''T T E
Tax Rate X .045 ABOVE ADDRaS0 MAKE C-i4.E
Tax Due 474.97 OR MONEY��R CEF-:PA iBL ETw
"REGISTER LLS, AGE-Nn"TAX CREDITS: o
PAYMENT RECEIPT DISCOUNT (+) (') Cy
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAIb W ITT
INTEREST IS CHARGED THROUGH 04-29-2014 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 474.97
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 4.67
TOTAL DUE 479.64
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.