HomeMy WebLinkAbout10-15-14 (2) BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX pennsylvaniaDEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, 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 10-13-2014
ESTATE OF THOMAS KAREN A
DATE OF DEATH 10-30-2013
FILE NUMBER 21 13-1354
COUNTY CUMBERLAND
SSN/DC
RAE L TRIPLETT ACN 13162055
3612 DWAYNE AVE APPEAL BY DATE:12-12-2014
MECHANICSBURG PA 17050-2209 (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: 10-13-2014
ESTATE OF: THOMAS KAREN A DATE OF DEATH:10-30-2013 COUNTY:CUMBERLAND
FILE NO. : 21 13-1354 S.S/D.C. NO. : ACN: 13162055,
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 81300-11
TYPE OF ACCOUNT: ( )SAVINGS ( )0 CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 07-31-1992
Account Balance 7,062.32 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 3,531 . 16 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX FOMENT :�60 THE
Taxable Amount 3,531 . 16 REGISTER OF WIL' AT-jTg
Tax Rate Y .045 ABOVE AbD(ESS. g�@AKL,?C41ECK
Tax Due158.90 OR MON§'�RDfR -pAYA4f1E'O:
"REG ISTIR-0 r--,� WIt-tS, AGENT."
TAX CREDITS: �� C►i
eD
PAYMENT RECEIPT DISCOUNT
' '�
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID C-)
12-28-2013 CDO18583 7.95 150.96
►—j rn
Cn
TOTAL TAX PAYMENT 158.91
BALANCE OF TAX DUE .01CR
INTEREST AND PEN. .00
TOTAL DUE .01CR
r 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. \\n
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.