HomeMy WebLinkAbout05-30-14 �'i pennsylvanE
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX �. 1'
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX ARP (12-13)
HARRISBURG PA 17128-0691 JOINTLY HELD OR TRUST ASSETS
DATE 06-03-2014
ESTATE OF NILSEN ROBERT N
DATE OF DEATH 01-29-2014
FILE NUMBER 21 14-0255
COUNTY CUMBERLAND
SSN/DC
CYNTHIA D KAUFFMAN ACN 14112037
416 RENO AVE APPEAL BY DATE:08-02-2014
NEW CUMBERLND PA 17070-1876 (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 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: 06-03-2014
ESTATE OF: NILSEN ROBERT N DATE OF DEATH:01-29-2014 COUNTY:CUMBERLAND
FILE NO. : 21 14-0255 S.S/D.C. NO. : ACN: 14112037
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO. : 5140046935
TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 02-28-2007
Account Balance 13,696.57 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 6,848.29 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 6,848.29 REGISTER OF WILLS AT THE
Tax Rate x . 045 ABOVE ADDRESS. MAKE CHECK
Tax Due 308. 17
OR MONEY ORDER PAYA BL E�fO: �
"REGISTER OF 2R-LS, AGfNT.,?j rn
TAX CREDITS: Z23 Q
PAYMENT RECEIPT DISCOUNT C+7 = C'O --c Cn ':
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID `? rr(7 Co
03-16-2014 CDO18908 15.41 292.76 cn o
0 CD
o n -n
O ::3 ri
( N rn
w (n o
M -n
TOTAL TAX PAYMENT 308. 17
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.