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HomeMy WebLinkAbout08-25-14 yoxlq J pennsylvan BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX ��y77 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 17128-8681 JOINTLY HELD OR TRUST ASSETS DATE 08-25-2014 ESTATE OF SIPE LOIS J DATE OF DEATH 07-28-2013 FILE NUMBER 21 13-0840 COUNTY CUMBERLAND SSN/DC VIRGINIA M GARDNER ACN 13150168 1303 BRANDT AVE APPEAL BY DATE:10-24-2014 NEW CUMBERLAND PA 17070-1534 (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 --0 RETAIN LOWER PORTION FOR YOUR RECORDS -__"'________________________________________________"'-""-""' REV-1548 EX AFP C12-137 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 08-25-2014 ESTATE OF:SIPE LOIS J DATE OF DEATH:07-28-2013 COUNTY:CUMBERLAND FILE NO. : 21 13-0840 S.S/D.C. NO. : ACN: 13150168 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: METRO BANK ACCOUNT NO. : 102609 TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST O)TIME CERTIFICATE DATE ESTABLISHED 10-08-2008 Account Balance 60,210.45 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 30, 105.23 UPPER PORTION OF THIS NOTICE Debts and Deductions - . 00 WITH YOUR TAX PAYMENT TO THE : Taxable Amount 30,105.23 REGISTERC-,OF WILLS',4T THE. Tax Rate x • 15 ABOVE ADCRF§S. MME fAEiBK Tax Due 4,515.78 OR MONEYj�)ROER PgABLE71g: "REGISTErRI *ILL%% AG'ri NC9." TAX CREDITS: n r r\) o r;1 n rn PAYMENT RECEIPT DISCOUNT (J7 -U Ul ;:u a) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID F" ,-s-� rD C3 C7 Q -rJ M n c. _ 7a IV f- M r\� C 4 CO -n INTEREST IS CHARGED THROUGH 09-02-2014 TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 4,515.78 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 47.03 TOTAL DUE 4,562.81 + 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. (v��J