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HomeMy WebLinkAbout05-30-14 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 06-03-2014 ESTATE OF MCCULLOUGH NANCY L DATE OF DEATH 08-22-2013 FILE NUMBER 21 14-0292 COUNTY CUMBERLAND SSN/DC AMBER N FOLTZ ACN 13146633 APT 5 APPEAL BY DATE:08-02-2014 79 EASTERN AVE (See reverse side under Objections) GREENCASTLE PA 17225-1187 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE '-1 RETAIN LOWER PORTION FOR YOUR RECORDS 4-- ----------------------------------------------------------- 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: 06-03-2014 ESTATE OF: M000LLOUGH NANCY L DATE OF DEATH:08-22-2013 COUNTY: CUMBERLAND FILE NO. : 21 14-0292 S.S/D.C. NO. : ACN: 13146633 TAX RETURN WAS: (X) ACCEPTED AS FILED ( > CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 207993-00 TYPE OF ACCOUNT: 00 SAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 08-03-2001 Account Balance 2,960 .28 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 1 ,480. 14 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMEAbT TO THE Taxable Amount 1 ,480. 14 REGISTER (Fp WILLS t.2 TH{7 � Tax Rate x . 15 ABOVE ADDRESS. MAC CHf,t Km7 Tax Due 222. 02 OR MONEY 0DERS PAYWE uT�O "REGISTER F- }�Li LSGy4GENT r" TAX CREDITS: r �, (-,1 0 ; •; rn 74 x� o PAYMENT RECEIPT DISCOUNT DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID ( < - CZ, --' _ rl 03-26-2014 CDO18950 . 00 222.02 ,;� � E n (V r rn r C ) Cn o TOTAL TAX PAYMENT 222.02 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. (\v?'� SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.