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HomeMy WebLinkAbout07-13-15 NOTICE OF INHERITANCE TAX A pe n n sy Lva rn a BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS RECORDED OFFICE OF DATE 07-13-2015 REGISTER OF WILLS ESTATE OF ROURKE VERA DATE OF DEATH 03-28-2015 ?015 JULL 13 pll�p 12 �7 FILE NUMBER 21 15-0435 COUNTY CUMBERLAND SSN/DC HELEN CLEACN 15127856 1013 �S S,TC,ni T APPEAL BY DATE:09-11-2015 MECHA N PA 17055-3945 (See reverse side under Objections) CUMBERLAND FA 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: 07-13-2015 ESTATE OF: ROURKE VERA DATE OF DEATH:03-28-2015 COUNTY:CUMBERLAND FILE NO. : 21 15-0435 S.S/D.C. NO. : ACN: 15127856 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: SANTANDER BANK ACCOUNT NO- : 0575136312 TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING ( )TRUST ( X)TIME CERTIFICATE DATE ESTABLISHED 10-27-1997 Account Balance 22,070.10 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 11,035.05 UPPER PORTION OF THIS NOTICE Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 11 ,035.05 REGISTER OF WILLS AT THE Tax Rate Y .15 ABOVE ADDRESS. 1MAKE CHECK Tax Due 1 ,655.26 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 06-09-2015 CD020813 82.76 1,572.48 07-06-2015 SBADJUST .00 .02 TOTAL TAX PAYMENT 1,655.26 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.