HomeMy WebLinkAbout08-11-14 �j [ pennsylvania
BUREAU OF INDIVIDUAL TAXES p� 'SEMTN -OC�k NLETORCDISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
PO BOX 280601 Of'L.L�'�:DEDUCTIONS,�,#Md'ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13)
HARRISBURG PA 17128-0601 i OiNTCY HELti'-'OR TRUST ASSETS
,DATE 08-11-20
X014 AUG I I f M 3: 54STATE OF CAMPBELL14
FM JOHN L
DATE OF DEATH 07-26-2013
FILE NUMBER 21 13-0875
COUNTY CUMBERLAND
CRPHAN S COURT SSN/DC
TAMMY A POWERS
CUMBERLAND CO., PA ACN 13147484
21255 230TH AVE SE APPEAL BY DATE:10-10-2014
MAPLE VALLEY WA 98038-8920 (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 10 RETAIN LOWER PORTION FOR YOUR RECORDS F
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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: 08-11-2014
ESTATE OF:CAMPBELL JOHN L DATE OF DEATH:07-26-2013 COUNTY:CUMBERLAND
FILE NO. : 21 13-0875 S.S/D.C. NO. : ACN: 13147484
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO. : 5004703961
TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 06-02-2005
Account Balance 3,711 .85 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 1,855.93 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 1,855.93 REGISTER OF WILLS AT THE
Tax Rate x . 045 ABOVE ADDRESS. MAKE CHECK
Tax Due 83.52 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 08-19-2014 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 83.52
REVERSE SIDE OF THIS FORM INTEREST AND PEN. .79
TOTAL DUE 84.31
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. lV�]1