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HomeMy WebLinkAbout01-07-15 NOTICE OF INHERITANCE TAX 1 .7, pennsyLvania BUREAU OF INDIVIDUAL TAXES , DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE 1 PO BOX 2 OF OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFF C11-14) HARRISBU=0&"Q1 OFF ICE JOINTLY HELD OR TRUST ASSETS REGISTER OF WILLS DATE 01-05-2015 ESTATE OF HEBERLIG MILDRED C 7 54 DATE OF DEATH 10-01-2014 FILE NUMBER 21 14-0996 C L E F COUNTY CUMBERLAND SSN/DC MA R)O R F H A kkhbl D E R ACN 14161591 4 2t4B R ,U L3NI tk APPEAL BY DATE:03-06-2015 CHAMBERS B U R G PA 17202-3109 (See reverse side under Objections) Amount Remitted F 771 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS I COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE —01 RETAIN LOWER PORTION FOR YOUR RECORDS 4- -------------------------------------------------------------------- REV-1548 EX AFP NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 01-05-2015 ESTATE OF:HEBERLIG MILDRED C DATE OF DEATH:10-01-2014 COUNTY:CUMBERLAND FILE NO. : 21 14-0996 S.S/D.C. NO. : ACN: 14161591 TAX RETURN WAS: (X) ACCEPTED AS FILED C CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO. : 20040614 TYPE OF ACCOUNT: ( )SAVINGS C CHECKING C )TRUST C )OTIME CERTIFICATE DATE ESTABLISHED 06-06-1991 Account Balance 8,057.32 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.083 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 671 .42 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 671 .42 REGISTER OF WILLS AT THE Tax Rate y .045 ABOVE ADDRESS. MAKE CHECK Tax Due 30.21 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 12-09-2014 CD020014 1.51 28.71 TOTAL TAX PAYMENT 30.22 BALANCE OF TAX DUE .01CR INTEREST AND PEN. .00 TOTAL DUE .01CR 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.