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HomeMy WebLinkAbout04-06-15 ((''O O OFFICE OF Q-9 pennsyLvania BUREAU OF INDIV��AL ����S^1� �jt cNOTICE OF INHERITANCE TAXINHERITANCE TAX DIVIRLMCISTER OF YiILLSPPRAISEMENT, ALLOWANCE OR DISALLOWANCEDEPARTMENT OF REVENUE PO BOX 280601 11 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14) HARRISBURG PA 17128-0L6011 y JOINTLY HELD OR TRUST ASSETS ?Q1S RPR 6 99 DATE 04-06-2015 CL �� ESTATE OF ADAMS NANCY DATE OF DEATH 12-17-2014 ORPHANS' COURT FILE NUMBER 21 15-0249 COUNTY CUMBERLAND CtiI�IB .VLtf KC �` „ I r�i SSN/DC JAMES JUNKER ACN 15106520 17 SHIRLEY DR APPEAL BY DATE:06-05-2015 MIDDLETOWN PA 17057-3342 (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: 04-06-2015 ESTATE OF:ADAMS NANCY DATE OF DEATH:12-17-2014 COUNTY:CUMBERLAND FILE NO. : 21 15-0249 S.S/D.C. NO. : ACN: 15106520 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: HERSHEY FCU ACCOUNT NO. : 15510-S1007 TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST ( )OTIME CERTIFICATE DATE ESTABLISHED 10-01-1981 Account Balance 14,176.25 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 7,088.13 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 7,088. 13 REGISTER OF WILLS AT THE Tax Rate Y .045 ABOVE ADDRESS. MAKE CHECK Tax Due 318.97 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 03-04-2015 CD020312 15.95 303.02 TOTAL TAX PAYMENT 318.97 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.