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HomeMy WebLinkAbout04-13-15 pennsyLvania BUREAU OF INDIV ALI�T �EE�+ c NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITAN 1� Y� oT 1V E O APPRAISEMENT, ALLOWANCE OR DISALLOWANCE I-, PO BOX 28 1 nn 9! OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP cll 14) HARRISBURG���$ 8�BYu{ OF WILLS JOINTLY HELD OR TRUST ASSETS KHAN ?015 RFR 13 9Fi 11 59 DATE 2015 J ESTATE OF KKHAN KHALIL A DATE OF DEATH 05-02-2014 CLERK OF FILE NUMBER 21 14-0441 S, ���,�-� COUNTY CUMBERLAND OOP SSN/DC SH ,LKF. KHAN °t ACN 14124790 40 M CURY DR APPEAL BY DATE:06-12-2015 MECHANICSBURG PA 17050-5273 (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 (11-14) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 04-13-2015 ESTATE OF: KHAN KHALIL A DATE OF DEATH:05-02-2014 COUNTY:CUMBERLAND FILE NO. : 21 14-0441 S.S/D.C. NO. : ACN: 14124790 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS IST FCU ACCOUNT NO. : 484977-11 TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 11-17-2012 Account Balance 8,589.75 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 1 ,431.65 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 1,431.65 REGISTER OF WILLS AT THE Tax Rate x .00 ABOVE ADDRESS. MAKE CHECK Tax Due .00 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX PAYMENT .00 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.