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HomeMy WebLinkAbout04-29-15 BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX Pennsylvania DEPARTMENT OFREVENUE INHERITANCE I ISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE QV PD BOX 28060gj�R1 � OFFICE off. OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14) HARRISBURG PAd} 28-060_ _ JOINTLY HELD OR TRUST ASSETS DATE 04-20-2015 1J RPR 2� ! DATETOFODEATH 08-08-2013 Q1rr MIRIAM J RM 12 10 Wil-6- a FILE NUMBER C L Et:, OF COUNTY CUMBERLAND �R�� a SSN/DC JAN +i,A. TINIG�Y7 ACN 14126923 Ii9i���?L�'BURN RD x APPEAL BY DATE:06-19-2015 MECHANICSBURG PA 17055-5931 (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 C11-14) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 04-20-2015 ESTATE OF: NEIBICH MIRIAM J DATE OF DEATH:08-08-2013 COUNTY:CUMBERLAND FILE NO. : S.S/D.C. NO. : ACN: 14126923 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PSECU ACCOUNT NO. : 8149813191S1 TYPE OF ACCOUNT: ( )()SAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 05-20-1999 Account Balance 32. 13 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 5.36 UPPER PORTION OF THIS NOTICE Debts and Deductions •00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 5.36 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due .24 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 04-13-2015 SBADJUST .00 .25 TOTAL TAX PAYMENT .24 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. j BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX PennsylvaniaDEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 28060 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14) HARRISBURG Pl 1C�OBBED OFFICE OF JOINTLY HELD OR TRUST ASSETS REGISTER CI WILLS- DATE 04-20-2015 ESTATE OF NEIBICH MIRIAM J ?015 APR 29 Pfd 12 16 DATE OF DEATH 08-08-201�3�Q-� FILE NUMBER C 6—`ec-), COUNTY CUMBERLAND CLEi X, OF SSN/DC JILL ORP 4F{�fM6EVWErE jT ACN 14126924 112��WS,aURN,RD., APPEAL BY DATE:06-19-2015 MEC t �B[i�� " 'PA 17U55-5931 (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 C11-14) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 04-20-2015 ESTATE OF: NEIBICH MIRIAM J DATE OF DEATH:08-08-2013 COUNTY:CUMBERLAND FILE NO. : S.S/D.C. NO. : ACN: 14126924 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PSECU ACCOUNT NO. : 8149813191S1 TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 05-20-1999 Account Balance 32. 13 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 5.36 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 5.36 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due •24 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 04-13-2015 SBADJUST .00 .25 TOTAL TAX PAYMENT .24 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. V�`�J