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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 07-28-2014
ESTATE OF JONES AGNES T
DATE OF DEATH 03-05-2014
FILE NUMBER 21 14-0246
COUNTY CUMBERLAND
SSN/DC 166-22-4458
AGNES T JONES ACN 14119233
20 CHERISH DR APPEAL BY DATE:09-26-2014
CAMP HILL PA 17011-1025 (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 RETAIN LOWER PORTION FOR YOUR RECORDS F
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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: 07-28-2014
ESTATE OF: JONES AGNES T DATE OF DEATH:03-05-2014 COUNTY:CUMBERLAND
FILE NO. : 21 14-0246 S.S/D.C. NO. : 166-22-4458 ACN: 14119233
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: RIVERFRONT FCU ACCOUNT NO. : 56609
TYPE OF ACCOUNT: ( X)SAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 07-01-1978
Account Balance 6,011 .00 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 31005.50 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 3,005.50 REGISTER OF WILLS AT THE
Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 135.25 OR MONEY ORDER PAYABLE T0:
"REGISTER qfF, WILLS, =A'GENT.
TAX CREDITS:
SS C— t TI C7
PAYMENT RECEIPT DISCOUNT (+) - C C C__)
AMOUNT PAID Z7 ,D�� ) (^—
DATE NUMBER INTEREST/PEN PAID CJ iy. T7 N .Tq f;J
06-02-2014 CD019239 6.76 128.49 -- _ co
C
n
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TOTAL TAX PAYMENT 135.25
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. ,
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.