HomeMy WebLinkAbout12-08-14 pennsyLvania
NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE UV DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION REV-1548 EX AFP (12-13)
PO BOX 280601 D
OPE OFFICE OF' OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA REGISTER OF WILLS JOINTLY HELD OR TRUST ASSETS
DATE 12-01-2014
niq ou 8 P11 12 25 ESTATE OF KOUMPIAS MADELINE G
DATE OF DEATH 09-30-2014
FILE NUMBER 21 14-1016
CLERK OF COUNTY CUMBERLAND
DIANE ORPH�bLWRT SSN/DC
ACN 14157474
6349 @VVBE0-tXyN
-)GC .- PA APPEAL BY DATE:01-30-2015
MECHANICSBURG PA 17050-2347 (See reverse side under Objections)
Amount Remitted r
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
--------------------------------------------------------------------
REY-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: 12-01-2014
ESTATE OF:KOUMPIAS MADELINE G DATE OF DEATH:09-30-2014 COUNTY:CUMBERLAND
FILE NO. : 21 14-1016 S.S/D.C. NO. : ACN: 14157474
TAX RETURN WAS: (X) ACCEPTED AS FILED C CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION:-M & T BANK ACCOUNT NO. : 9835786725
TYPE OF ACCOUNT: C )SAVINGS ( )0 CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 03-15-2004
Account Balance 1,368.30 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 684.15 UPPER PORTION OF THIS NOTICE
Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 684.15 REGISTER OF WILLS AT THE
Tax Rate y .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 30.79 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
10-24-2014 CDO19837 1 .54 29.33
TOTAL TAX PAYMENT 30.87
BALANCE OF TAX DUE .08CR
INTEREST AND PEN. .00
TOTAL DUE .08CR
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.