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HomeMy WebLinkAbout05-20-14 (2) 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 05-19-2014 ESTATE OF MELVIN GERALDINE M DATE OF DEATH 01-08-2013 FILE NUMBER 21 13-0387 COUNTY CUMBERLAND SSN/DC ELAINE D CONNOLLY ACN 14124456 798 E MAIN ST APPEAL BY DATE:07-18-2014 DALLASTOWN PA 17313-9733 (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 --I' RETAIN LOWER PORTION FOR YOUR RECORDS ____________________________________________________--------- 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: 05-19-2014 ESTATE OF: MELVIN GERALDINE M DATE OF DEATH:01-08-2013 COUNTY:CUMBERLAND FILE NO. : 21 13-0387 S.S/D.C. NO. : ACN: 14124456 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: IRA ACCOUNT NO. : 0003 TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 01-08-2013 Account Balance 13,408.71 NOTE: TO ENSURE PROPER CREDIT TO - Percent Taxable X 1 .000 YOUR ACCOUNT, SUBMI� THE �aw Amount Subject to Tax 13,408.71 UPPER PORT,LDUN OF TM Npj qE Debts and Deductions - .00 WITH YOUR,�3W. PAYME To -ME Taxable Amount 13,408.71 REGISTER YPi 4TIL,�S At THE; ' Tax Rate x .045 ABOVE ADDR-PSJE r'-MAYrE�j CHE fl, Tax Due 603.39 OR MONEY ORD 2 AYA$ZE T.Or:) "REGISTER`J0F Wr-L LS AG EtLT G9 TAX CREDITS: �'' c) 7 _ l PAYMENT RECEIPT DISCOUNT C+) o DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID rTl r w '*I INTEREST IS CHARGED THROUGH 05-27-2014 TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 603.39 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 11 .43 TOTAL DUE 614.82 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. \n SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.