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HomeMy WebLinkAbout10-15-14 BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX PennsylvaniaDEPARTMENT 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 10-13-2014 ESTATE OF DAVIS DAVID A DATE OF DEATH 05-15-2014 FILE NUMBER 21 14-0507 COUNTY CUMBERLAND SSN/DC SANDRA D FENTON ACN 14136349 353 WILLOW AVE APPEAL BY DATE:12-12-2014 CAMP HILL PA 17011-3655 (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 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: 10-13-2014 ESTATE OF:DAVIS DAVID A DATE OF DEATH:05-15-2014 COUNTY:CUMBERLAND FILE NO. : 21 14-0507 S.S/D.C. NO. : ACN: 14136349 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PSECU ACCOUNT NO. : 8678848725S7 TYPE OF ACCOUNT: ( ))SAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 10-08-2009 Account Balance 3,857.75 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 1 ,928.88 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 1,928.88 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due 86.80 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: N PAYMENT RECEIPT DISCOUNT C+) M DATENUMBER INTEREST/PEN PAID (-) AMOUNT PAID Ga rr1 09-13-2014 CDO19677 .00 86.80r'—n c7 --i co �:o r- F-A rri rn cn : M) zi f71 -� r— TOTAL TAX PAYMENT 86.'$0 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.