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HomeMy WebLinkAbout06-22-15 (4) BUREAU O'TiLNDIVS&J`ALCTAX E OF NOTICE OF INHERITANCE TAX P`nnSy`Va1 iia DEPARTMENT OF REVENUE INHERITAN%� Ax VdSION - +.+: r APPRAISEMENT, ALLOWANCE OR DISALLOWANCE J PO BOX 280 b!IUi "ILL`) OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14) HARRISBURG PA 11t7128-0601 ;r� C 2J JOINTLY HELD OR TRUST ASSETS RIN C9 F i I2 DATE 06-22-2015 ESTATE OF WAGNER RICHARD J CLE ,;� OF DATE OF DEATH 01-23-2015 FILE NUMBER 21 15-0308 0RPNr" ir'J CO Ott COUNTY CUMBERLAND SSN/DC FA11T14 �`E''KLINE– ACN 15107343 2002 PRINCETON AVE APPEAL BY DATE:08-21-2015 CAMP HILL PA 17011-5442 (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 —01 RETAIN LOWER PORTION FOR YOUR RECORDS ♦� ------------------------------------------------------------------------------------------- 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:WAGNER RICHARD J DATE OF DEATH:01-23-2015 COUNTY:CUMBERLAND FILE NO. : 21 15-0308 S.S/D.C. NO. : ACN: 15107343 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: FULTON BANK NA ACCOUNT NO. : 402-0131073 TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING O)TRUST C )TIME CERTIFICATE DATE ESTABLISHED 01-10-2007 Account Balance 25,493.34 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 1 .000 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 25,493.34 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 25,493.34 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due 1 ,147.20 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID 04-15-2015 CD020511 57.36 1,147.20 TOTAL TAX PAYMENT 1,204.56 BALANCE OF TAX DUE 57.36CR INTEREST AND PEN. .00 TOTAL DUE 57.36CR * 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.