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HomeMy WebLinkAbout10-15-14 (2) � 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-154B 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 14136350 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 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: 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: 14136350 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PSECU ACCOUNT NO. : 8678848725CD54 TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING ( )TRUST ( )OTIME CERTIFICATE DATE ESTABLISHED 10-13-2009 Account Balance 14,579.73 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 7,289.87 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 7,289.87 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due 328.04 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATENUMBER INTEREST/PEN PAID C-) AMOUNT PAID n ry 09-13-2014 CDO19676 .00 328.04 © c� -o _ o rr) fTl C_� fr7 m .? -T, CD _) r, - 4 21 TOTAL TAX PAYMENT _j 321.0M BALANCE OF TAX DU Cl?2-M 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" CCR), YOU MAY BE DUE A REFUND. (,v�VTll SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.