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HomeMy WebLinkAbout09-24-14 ] pennsylvania 1 BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX P1 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 09-22-2014 ESTATE OF WAGNER SR DONALD D DATE OF DEATH 01-05-2014 FILE NUMBER 21 14-0586 COUNTY CUMBERLAND SSN/DC MARY G GRONKIEWICZ ACN 14141648 1209 STRATFORD DR APPEAL BY DATE:11-21-2014 CARLISLE PA 17013-3569 (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 4-- ----------------------------------------------------------------------------------___------ 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: 09-22-2014 ESTATE OF:WAGNER SR DONALD D DATE OF DEATH:01-05-2014 COUNTY:CUMBERLAND FILE NO. : 21 14-0586 S.S/D.C. NO. : ACN: 14141648 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO. : 106002779 TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 10-05-2002 Account Balance 10,382.83 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 5,191 .42 UPPER PORTION OF THIS NOTICE Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 5, 191 .42 REGISTU OF WILO— AT THq. Tax Rate x . 045 ABOVE KDDSESS. ,--lWAKE#FFFECK Tax Due 233.61 OR MONErY IRDER V,4YAWDEaO: "REGISg RL0P WIPES, ',A TAX CREDITS: r r rV Tn m PAYMENT RECEIPT DISCOUNT (+) Co '" = QD DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID ( � Jn: O 08-22-2014 CDO19597 .00 233:6'1�� v � ✓ F --� � m ° cn (n C3 W '(I TOTAL TAX PAYMENT 233.61 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.