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HomeMy WebLinkAbout05-23-14 117 pennsylvanE 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 05-26-2014 ESTATE OF LEBARD AMY A DATE OF DEATH 10-17-2012 FILE NUMBER 21 12-1270 COUNTY CUMBERLAND SSN/DC NICHOLAS SWETT ACN 13133670 APT 24 APPEAL BY DATE:07-25-2014 2818 W GLEN DR (See reverse side under Objections) FALLS CHURCH VA 22046-4780 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE --10 RETAIN LOWER PORTION FOR YOUR RECORDS <-- -----------_______________________________________________---------- REV-1548 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: 05-26-2014 ESTATE OF: LEBARD AMY A DATE OF DEATH:10-17-2012 COUNTY:CUMBERLAND FILE NO. : 21 12-1270 S.S/D.C. NO. : ACN: 13133670 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO. : 0272030449 TYPE OF ACCOUNT: ( X)SAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 05-16-2009 Account Balance 811 .34 NOTE: TO ENSURE PROPER CR5DIT TO Percent Taxable X 0.500 YOUR ACCO"T, SUBMtT THE m Amount Subject to Tax 405.67 UPPER POR-O& OF T�JS VTQLE Debts and Deductions - .00 WITH YOURC74 PAYMg.VT TO, 4E Taxable Amount 405.67 REGISTER ytIrS MT THE � Tax Rate X .15 ABOVE ADDRESS:.M MAKD CHECK Tax Due 60.85 OR MONEY 6R69RrPAYABLE JO<�, "REGISTER6R?J41LS:'3AGERT�' C) o TAX CREDITS: � -T7 PAYMENT RECEIPT DISCOUNT C+7 - F--+ I- tT1 DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID -D Cr W !) o W � INTEREST IS CHARGED THROUGH 06-03-2014 TOTAL TAX PAYMENT . 00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 60.85 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1 .60 TOTAL DUE 62.45 X 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.