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HomeMy WebLinkAbout12-08-14 NOTICE OF INHERITANCE TAX 17pennsytvania BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE INHERITANCE gteb]RIBED OFPCE OF APPRAISEMENT, ALLOWANCE OR DISALLOWANCE REV-1545 EX AFP (12-13) PO OF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA�ttj 15TER OF WiLLS JOINTLY HELD OR TRUST ASSETS DATE 12-01-2014 12 25 ESTATE OF HARTMAN TERESA V zo 01 DATE OF DEATH 09-01-2014 FILE NUMBER 21 14-1007 CLERIN" Of COUNTY CUMBERLAND ORPHAN'S' COU' T SSN/DC CASPER 4 11"^ .!k ACN 14156473 tW�X *11"� 1 328 f�MW H 'RD APPEAL BY DATE:01-30-2015 SHIPPENSBURG PA 17257-9424 (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 -------------------------------------------------------------------- REY-254$ 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: 12-01-2014 ESTATE OF:HARTMAN TERESA V DATE OF DEATH:09-01-2014 COUNTY:CUMBERLAND FILE NO. : 21 14-1007 S.S/D.C. NO. : ACN: 14156475 TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION:-FARMERS & MERCHANTS TRUST CO ACCOUNT NO. : 5006279 TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 07-21-1983 Account Balance 3,681.26 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 1 ,840.63 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 1,840.63 REGISTER OF WILLS AT THE Tax Rate y .045 ABOVE ADDRESS. MAKE CHECK Tax Due 82.83 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT AMOUNT PAID DATE NUMBER INTEREST/PEN PAID 10-22-2014 CDO19828 4.14 78.69 TOTAL TAX PAYMENT 82.83 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.