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HomeMy WebLinkAbout08-26-15 (5) NOTICE OF INHERITANCE TAX Pennsylvania BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION �j APPRRAAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 CIEC&RftF-LRT@(J7N JOOWDWSESSMENT OF TAX ON REV-1548 EX AFP (11-14) HARRISBURG PA 17128-0601 p c n f C� O`N LY4 HELUR TRUST ASSETS �C\LbI�+ �}i �; DATE 08-24-2015 MIS AUG 26 F � 3 t�ATETOFODEATH 007-04-2014 THEETTA P FILE NUMBER 21 14-0684 CLt sty Gr COUNTY CUMBERLAND ORPHANS' SSN/DC TERRY OHRUM ACN 15143673 750 RANGE END RD CUMBERLPI,t;� , APPEAL BY DATE:10-23-2015 D I L L S B U R G PA 17019-9465 (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 ------------------------------------------------------------------------------------------- REV-1548 EX .AFP (31-14) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 08-24-2015 ESTATE OF:WOLF THEETTA P DATE OF DEATH:07-04-2014 COUNTY:CUMBERLAND FILE NO. : 21 14-0684 S.S/D.C. NO. : ACN: 15143673 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: JOHN HANCOCK ACCOUNT NO. : 2693959 TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 07-04-2014 Account Balance 22,484.33 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.333 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 7,494.70 UPPER PORTION OF THIS NOTICE Debts and Deductions •00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 7,494.70 REGISTER OF WILLS AT THE Tax Rate x • 15 ABOVE ADDRESS. MAKE CHECK Tax Due 1,124.21 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) INTEREST IS CHARGED THROUGH 09-01-2015 TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 1,124.21 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 13.83 TOTAL DUE 1,138.04 * 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.