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HomeMy WebLinkAbout05-14-15 (3) pennsylvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX 17DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 2806q� OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14) HARRISBURG R5oTp CFFICE OF JOINTLY HELD OR TRUST ASSETS �}�t�°a REGIS TIF? VF .ILLS DATE 05-11-2015 1 ESTATE OF ESPENSHADE CONSTANCE M DATE OF DEA09-26-2013 ,015 My 19 PFI 12 21 FILE NUMBERTH 21 13-1093 COUNTY CUMBERLAND Wit= SSN/DC PORSbA�Pj,A�` P,INDER.,7 ACN 15111517 AP APPEAL BY DATE:07-10-2015 20 `NZkD ST I '. (See reverse side under Objections) WORMLEYSBURG PA 17043-1153 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: 05-11-2015 ESTATE OF: ESPENSHADE CONSTANCE M DATE OF DEATH:09-26-2013 COUNTY:CUMBERLAND FILE NO. : 21 13-1093 S.S/D.C. NO. : ACN: 15111517 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: AMERICAN FUNDS ACCOUNT NO. : 1337 TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 09-26-2013 Account Balance 2,046.43 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 1 .000 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 2,046.43 UPPER PORTION OF THIS NOTICE Debts and Deductions •00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 2,046.43 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due 92.09 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 03-11-2015 CD020342 .00 92.09 05-04-2015 SBADJUST .00 1.95 TOTAL TAX PAYMENT 92.09 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'\•lil\J