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HomeMy WebLinkAbout07-28-14 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-1558 EX AFP (12-13) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS DATE 07-28-2014 ESTATE OF YEARSLEY VIRGINIA L DATE OF DEATH 05-25-2013 FILE NUMBER 21 14-0609 COUNTY CUMBERLAND SSN/DC 197-22-8323 JOLENE R WIDLICKA ACN 14130638 4607 YATES RD APPEAL BY DATE:09-26-2014 SALEM OH 44460-9438 (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 """-----""-"""-""''_____________________________________-- 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: 07-28-2014 ESTATE OF:YEARSLEY VIRGINIA L DATE OF DEATH:05-25-2013 COUNTY:CUMBERLAND FILE NO. : 21 14-0609 S.S/D.C. NO. : 197-22-8323 ACN: 14130638 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO. : 31700314638 TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST ( X)TIME CERTIFICATE DATE ESTABLISHED 07-09-2007 Account Balance 20,063.42 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 3,343.97 UPPER PORTION OF THIS NOTICE Debts and Deductions - . 00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 3,343.97 REGISTER OF WILLS AT THE Tax Rate r .045 ABOVE ADDRESS. MAKE CHECK Tax Due 150.48 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) n AMOUNT PAID F= DATE NUMBER INTEREST/PEN PAID (-) ? � n� 06-24-2014 CDO19349 .00 150.48 `M - C C `.J 07-21-2014 SBADJUST . 00 1 .47 _' - •_: CO _z7 7 cn D 7 Q TOTAL TAX PAYMENT 150.48 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.