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HomeMy WebLinkAbout09-24-14 pennsylvanE BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX OIVISIDN 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 09-22-2014 ESTATE OF SIMS DAVID C DATE OF DEATH 09-19-2013 FILE NUMBER 21 13-1031 COUNTY CUMBERLAND SSN/DC LOIS M SIMS ACN 13155841 413 ALLENDALE WAY APPEAL BY DATE:11-21-2014 CAMP HILL PA 17011-8407 (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 1 RETAIN LOWER PORTION FOR YOUR RECORDS F' __-""'---___--"----'-------"'-----""'------------------ REV-1548 EX AFP (12-137 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 09-22-2014 ESTATE OF: SIMS DAVID C DATE OF DEATH:09-19-2013 COUNTY:CUMBERLAND FILE NO. : 21 13-1031 S.S/D.C. NO. : ACN: 13155841 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO. : 5140219701 TYPE OF ACCOUNT: ( )SAVINGS ( )0 CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 05-01-1978 Account Balance 12,065.28 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 2,010.92 UPPER PORTION OF,-XHIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYOENTATW THE Taxable Amount 2,010.92 REGISTEFE 08 WILLS ATr.�TH� Tax Rate x . 00 ABOVE ADV4SS. IqKE -GHgK Tax Due . 00 OR MONET, (jRDp2 PMABL--E (TA: "REGISTER ;OF! WILLS, AEG, TAX CREDITS: cn - Q � PAYMENT RECEIPT DISCOUNT (+) `'J C') _, T T T DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID A ~ f M mo ' Cn T w TOTAL TAX PAYMENT .00 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.