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HomeMy WebLinkAbout06-30-15 Pennsylvania BUREAU OF INDIVIDUAL TAXES Cr r� L 1 NOTtICE OF INHERITANCE TAX DEPARTMENT OF REVENUE POHBOXTANCE 280601AX DIVISION RECCROFPIIEDU TiIUN$ vI�DWASSESSMENTDISALLOWANCE ON REV-1548 EX AFP (11-14) HARRISBURG PA 17128-0601 R E G f S T-F r� 491-NT.LY- HELD OR TRUST ASSETS DATE 06-29-2015 1?015 N 30 P M 8 DATEOF TOH RUTH M DEATH 12-14-2014 FILE NUMBER 21 15-0266 CLEC;,'; 0P COUNTY CUMBERLAND GRPHANIS' COURT SSN/DC 192-14-6537 KELSEY R MCCAULE ACN 15115033 537 BOSLER AVE UMHERLA D Co., Ptd APPEAL BY DATE:08-28-2015 LEMOYNE PA 17043-1815 (See reverse side under Objections) Amount Remitted ti MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 i CUT-ALONG THIS LINE-14)- --RETAIN-LOWER-PORTION-FOR-YOUR-RECORDS C11- -- ------------------- REV-1548 EX AFP NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS f DATE: 06-29-2015 ESTATE OF:STRAUSBAUGH RUTH M DATE OF DEATH:12-14-2014 COUNTY:CUMBERLAND FILE NO. : 21 15-0266 S.S/D.C. NO. : 192-14-6537 ACN: 15115033 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: CITIZENS BANK OF PENNSYLVANIA ACCOUNT NO. : 6254722241 TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST ( ))TIME CERTIFICATE DATE ESTABLISHED 11-10-2008 Account Balance 1,056.27 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 528. 14 UPPER PORTION OF THIS NOTICE Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 528. 14 REGISTER OF WILLS AT THE Tax Rate x . 15 ABOVE ADDRESS. MAKE CHECK Tax Due 79.22 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 05-21-2015 CD020725 .00 79.22 TOTAL TAX PAYMENT 79.22 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.