HomeMy WebLinkAbout06-22-15 BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX PcnnSyLVa1 iia INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE Q-7DEPARTMENT OF REVENUE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRISBURGRjE(�E2A-ECOID 0''_ICE OF JOINTLY HELD OR TRUST ASSETS
RECIS T r= V!!LL.S DATE 06-22-2015
C t' �p ESTATE OF SHAMBAUGH BETH A
ATE OF -2014
?015 AN C2 Fn 12 24
FILE NUMBERTH 21-191 4-0893
COUNTY CUMBERLAND
Ci._E;,,, ); SSN/DC
BRE P ,K�,BUfrF,INGT0N ACN 14169085
AP APPEAL BY DATE:08-21-2015
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9 � E R•""k PA (See reverse side under Objections)
LEMOYNE PA 17043-1760 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 F�
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: 06-22-2015
ESTATE OF: SHAMBAUGH BETH A DATE OF DEATH:08-09-2014 COUNTY:CUMBERLAND
FILE NO. : 21 14-0893 S.S/D.C. NO. : ACN: 14169085
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: METRO BANK ACCOUNT NO. : 537457830
TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 08-04-2006
Account Balance 1,397.34 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 698.67 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount. , 698.67 REGISTER OF WILLS AT THE
Tax Rate x . 15 ABOVE ADDRESS. MAKE CHECK
Tax Due 104.80 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
04-14-2015 CD020524 .00 104.80
TOTAL TAX PAYMENT 104.80
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.