HomeMy WebLinkAbout03-18-13 (2)BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128 -0601 T7 7'1 J HELD OR TRUST ASSETS
3 I'MR 18
ROBERT J HOLLAS R
401 ORCHARD LN 't pip T
MECHANICSBURG City "P�i4 i XII �t'''• -,q
PA
pennsylvania
DEPARTMENT OF REVENUE
REV -1548 EX AFP (12 -12)
DATE 03 -18 -2013
HOLLIS LUCY
E E
DATE OF DEATH 12 -07 -2011
FILE NUMBER 21 12 -0047
COUNTY CUMBERLAND
SSN /DC 190 -22 -2548
ACN 12125651
APPEAL BY DATE:05 -17 -2013
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
C
CUT ALONG THIS LINE --* RETAIN LOWER PORTION FOR YOUR RECORDS +—
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REV-1548 EX AFP C12 -12)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 03 -18 -2013
ESTATE OF:HOLLIS
LUCY
C DATE OF DEATH:12 -07 -2011 COUNTY:CUMBERLAND
FILE NO.: 21 12 -0047 S.S /D.C. NO.: 190 -22 -2548
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO.:
ACN: 12125651
5003181145
TYPE OF ACCOUNT: O)SAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 10 -31 -2000
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
3,403.00
X 0.166
567.18
.00
567.18
y .00
.00
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT ( +)
INTEREST /PEN PAID C -)
AMOUNT PAID
TOTAL TAX PAYMENT .00
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" CCR), YOU MAY BE DUE A REFUND.y?;
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.