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HomeMy WebLinkAbout05-14-15 (2) pennsylvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIV 0 n APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO HARRIOSBURG601 17128.-0601QRDED OFFICE ff DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP C11-14) JOINTLY HELD OR TRUST ASSETS REGIS T i=`I (F WILLS �EE �q m DATE 05-11-2015 ESTABESTER ?Q.tJ { '`► PM 12 21 DATETOFODEATH 05-29-2014 MARILYN R FILE NUMBER 21 14-0547 I (?t COUNTY CUMBERLAND KIMBERLY O �B�AiiOSIC� 4'T SSN/DC ACN 14132952 PO BOX &4JM C-,*.' ` , APPEAL BY DATE:07-10-2015 NEW KINGSTOWN PA 17072-0084 (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: 05-11-2015 ESTATE OF: BERSTLER MARILYN R DATE OF DEATH:05-29-2014 COUNTY:CUMBERLAND FILE NO. : 21 14-0547 S.S/D.C. NO. : ACN: 14132952 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: AMERICHOICE FCU ACCOUNT NO. : 168940069 TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING ( X)TRUST C )TIME CERTIFICATE DATE ESTABLISHED 04-11-2005 Account Balance 5,487.42 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 1 .000 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 5,487.42 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 5,487.42 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due 246.93 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID INTEREST IS CHARGED THROUGH 05-19-2015 TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 246.93 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1 .62 TOTAL DUE 248.55 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. �vl SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. /`J�/