HomeMy WebLinkAbout09-24-14 pennsylvania
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP a2-13)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
DATE 09-22-2014
ESTATE OF TEITRICK FRANCES B
- DATE OF DEATH 04-22-2013
FILE NUMBER 21 13-0546
COUNTY CUMBERLAND
SSN/DC 172-01-4438
CAROLYN J ESHELMAN ACN 13169916
1944 LEONARD ST APPEAL BY DATE:11-21-2014
YORK PA 17404-5233 (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 (12-13)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 09-22-2014
ESTATE OF: TEITRICK FRANCES B DATE OF DEATH:04-22-2013 COUNTY:CUMBERLAND
FILE NO. : 21 13-0546 S.S/D.C. NO. : 172-01-4438 ACN: 13169916
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SANTANDER BANK ACCOUNT NO. : 1675551632
TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST ( X)TIME CERTIFICATE
DATE ESTABLISHED 08-15-2011
Account Balance 10,012.22 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 5,006. 11 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOgR TAX PX ENT T�b THE
Taxable Amount 5,006. 11 REGISTEC 9 WILLSFAT�Fg
Tax Rate x • 15 ABOVE A�@ESS. �}KE 2v'HECK
Tax Due 750.92 OR MONE�YT O�D.-R PA�ABL13 �:
"REGISTEDZ?(1 F{�-WI LIL` , AGENT."
TAX CREDITS: b- ,n •n c13
C O
PAYMENT RECEIPT DISCOUNT (+) L:1 -b -TI -n
q
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID (, <
t'1 C.7 ;-� w �
_ n
r m
Cn (n O
INTEREST IS CHARGED THROUGH 09-30-2014 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 750.92
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 15.46
TOTAL DUE 766.38
s 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.