HomeMy WebLinkAbout01-21-14 (2) f�$,r, �{y+? r Pennsylvania
INHERITANCE TAXDDIYZSZ0tREO jpCVED 4�_��x�o ISEMENTE ALLOWANCE TORCDISALLOWANCE
DEPARTMENT OF REVENUE
PD BOX 280441 9 % �1DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13)
HARRISBURG PA 17128-4543 REGISTER Ot j-v JOINTLY HELD OR TRUST ASSETS
21 p� ? Q� DATE 01-20-2014
LL ESTATE OF FORTINI ELEANOR
DATE OF DEATH 01-18-2013
CLERK d� FILE NUMBER 21 13-0117
QR� AS GCUR� COUNTY CUMBERLAND
SSN/DC
ANTHONY F�TS�RLANC ��{ ACN 13107689
12 GOLFVIEW R APPEAL BY DATE:03-21.2014
CAMP HILL PA 17011-2035 (See reverse side under Objections)
Amount Remitted F
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 C12-13)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 01-20-2014
ESTATE OF:FORTINI ELEANOR DATE OF DEATH:01-18-2013 COUNTY:CUMBERLAND
FILE NO. : 21 13-0117 S.S/D.C. NO. : 109-22-9305 ACN: 13107689
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO. : 1771070528
TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING O)TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 01-24-2012
Account Balance 21 ,736.31 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 1.000 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 21 ,736.31 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 21,736.31 REGISTER OF WILLS AT THE
Tax Rate v •15 ABOVE ADDRESS. MAKE CHECK
Tax Due 3,260.45 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 01-28-2014 TOTAL TAX PAYMENT 100
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 3,260.45
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 27.27
TOTAL DUE 3,287.72
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.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.