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HomeMy WebLinkAbout05-20-15 NOTICE OF INHERITANCE TAX• • PennSyLVa1 iia BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE Iyy��11FFRRyyJJ T_k DYV SxDN�� APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PQ(IDJU='1 ' ' ,_ O� OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14) HA Iff RG,PA i9d28-V601'f 1 ' JOINTLY HELD OR TRUST ASSETS titi�� 1 ..-_ �� AM DATE 05-18-2015 ?p� (!RY 20 AM l0 b9 ESTATE OF SAPHORE LUCY B DATE OF DEATH 11-06-2013 CLE-1, ti i_. FILE NUMBER 21 15-0388 COUNTY CUMBERLAND okp ��;t`;' iT SSN/DC NG� LA, „ P -BROWNAWELL ACN 14168853 5- BEECH ST APPEAL BY DATE:07-17-2015 CARLISLE P A 17013-3107 (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 (11-14)-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 05-18-2015 ESTATE OF: SAPHORE LUCY B DATE OF DEATH:11-06-2013 COUNTY:CUMBERLAND FILE NO. : 21 15-0388 S.S/D.C. NO. : ACN: 14168853 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO. : 106003081 TYPE OF ACCOUNT: C )SAVINGS ( )0 CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 10-08-2003 Account Balance 18,664.26 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 9,332. 13 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 9,332. 13 REGISTER OF WILLS AT THE Tax Rate Y .045 ABOVE ADDRESS. MAKE CHECK Tax Due 419.95 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 04-08-2015 CD020476 .00 279.93 INTEREST IS CHARGED THROUGH 05-26-2015 TOTAL TAX PAYMENT 279.93 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 140.02 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 8.99 TOTAL DUE 149.01 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. 1�J\ SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.