HomeMy WebLinkAbout04-21-14 (2) BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX pennsylvania DEPARTMENT OF REVENUE
INNERlTbNCE TAX DIVISION APPRAZSEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
DATE 04-21-2014
ESTATE OF BRUSSESE JR NICK
DATE OF DEATH 07-31-2012
FILE NUMBER 21 12-0911
COUNTY CUMBERLAND
SSN/DC
BETH A PALMER ACN 13127312
810 MEADOW LN APPEAL BY DATE:06-20-2014
CAMP HILL PA 17011-1545 (See reverse side underObjecdons)
Amount Remitted --�---�
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS F'
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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: 04-21-2014
ESTATE OF:BRUSSESE JR NICK DATE OF DEATH:07-31-2012 COUNTY:CUMBERLAND
FILE NO. : 21 12-0911 S.S/D.C. NO. : ACN: 13127312
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: FULTON BANK NA ACCOUNT NO. : 1371-73671
TYPE OF ACCOUNT: ( X)SAVINGS C } CHECKING ( )TRUST C }TIME CERTIFICATE
DATE ESTABLISHED 04-20-2007
Account Balance 1,611.85 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 805.93 UPPER PORTION OF THIS NOTICE
Debts and Deductions . 00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 805.93 REGISTER OF .WILLS AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE, CHECK
Tax Due 36.27 OR MONEY ODER PAYABLE CEO.
"REGISTER�QF4IILLSrMAGERCV
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+} AMOUNT PAID ::O r fV (I j M DATE NUMBER INTEREST/PEN PAID C-) rr7 p.� O
C- Q
r IMT1
1
INTEREST IS CHARGED THROUGH 04-29-2014 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 36.27
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1 . 08
TOTAL DUE 37.35
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.