HomeMy WebLinkAbout12-17-14 BUREAU OF INDIVIDUAL TAXES � � �1
INHERITANCE TAX DIVISION NOTICE OF INHERITANCE TAX � �� `'ennsy •
PO BOX 280601 •���� r Lvarna
APPRAISEMENT, ALLOWqNCE OR DISqLLOWANCE
HARRISBURG PA 1 7128-0 601 OF DEDUCTIONS, qND ASSESSMENT OF TAX ON
DEPARTMENT OFREVENUE
JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (12-13)
DATE 12-01-2014
ESTATE OF VANDERSLICE
DATE OF DEATH 06-25-2013 PEGGY �
FILE NUMBER
COUNTY 21 13-0744
PATRICI �EPELA SSN/DC �UMBERLAND
��� APT A � ACN 218'26-7449
545��qNDT A APPEAL g
.- K�W CUMBERLAND Y DATE:O1-30-2015
17 0 7 0-18 4 0 (See reverse side under Objections)
///111 Amount Remitted
��,��r�c �p _.,� ��— I MAKE CHECK PAYABLE AND REMIT PAYMENT
- 1�'�JS 0 �J R E G I S T E R O F W I� T 0:
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��icJ�M�/�� � CARLISLE PA 17013
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REV-A� 4NG r�IS �iNE_ _ � RtTai?� �0►�E
1548 EX AFP (i2-13j ---"'-------____�_p�RTION FOR YOUR RECORDS E�
NOTICE OF INHERITANCE TAX APPRAISEMENT
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLYWHELD OR TRUSTLASgNCE OF
ETS
ESTATE OF:VANDERSLICE DATE: 12-01-2014
PEGGY J DATE OF DEATH:06-25-2013
FILE NO. : 21 13-0744 COUNTY:CUMBE�AND
S.S/D.C. NO. : 218-26-7449
TAX RETURN Wqs; (X) ACCEPTED AS FILED ACN:
� ) CHANGED 13172018
FINANCIAL INSTITUTION: SANTANDER gANKT OR TRUST ASSET INFORMATION
TYPE OF ACCOUNT: C )SAVINGS ( � CHECKING C )TRUST A�COUNT NO. :
DATE ESTABLISHED 04- ��71026439
28-1988 ( )TIME CERTIFICqTE
Account Balance
Percent Taxable 1,437.45
Amount Sub ' X NOTE: TO ENSURE PROPER CREDIT 70
�ect to Tax �.500
Debts and Deductions - 718.73 YOUR ACCOUNT, SUBMIT THE
Taxable Amount .00 UPPER PORTION OF T
WITH YOUR �� NOTICE
Tax Rate 718.73 �TjAX PAYM .��' r�-�CpE
Tax llu� Y REGISTER ��LLS � rH�n ��4�
15 ABOVE ADD �
107.81 � MA�CH��
TAX cREDITS: OR MONEY p�pq c�qyAB E �,
PAYMENT '�RCuiSTtR �,,,�,� �
RECEIPT ����-S,�GE�,�
DATE NUMBER DISCOUNT (+) t�- �w '
INTEREST/PEN PAID C-� �.Y �.� ��� �
AMOUNT PAID . L7 �� •`r-� 'r�
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INTEREST IS CHARGED THROUGFI 12-09-2014
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM TOTAL TAX PAYMENT
BALANCE OF TAX DUE •00
INTEREST AND PEN, 107'81
TOTAL DUE 2'29
110.10
* IF TOTALADUERISHKFFDECTED AS q ��
SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. *
SEE REVERSE SIDE OF THIS FORM FORRINSTRUCTIONS.
CCR), YOU MAY BE DUE A REFUND.
BUREAU OF INDIVIDUAL TAXES �'�
INHERITANCE TAX DIVISIo� NOTICE OF INHERITANCE TAX � � pennsylvania
PO BOX 280601 APPRAISEMENT, ALLOWqNCE OR DISALLOWqNCE
HARRISBURG Pq 17128-0601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON DEPARTMENT OF REVENUE
JOINTLY HELD OR TRUST ASSETS R�/-1548 EX AFP �lz_13)
DATE 12-01-2014
ESTATE OF VANDERSLICE
DATE OF DEATH 06-25-2013 PE��Y �
FILE NUMBER 21 13-0744
PATRIC COUNTY CUMBERLAND
� EPELA SSN/DC 218-26-7449
APT A ACN
545 ANDT VE APPEAL BY DATE:O1-30-2015
N C U M B E R L A P A 17 0 7 0-18 4 0 (See reverse side under Objections)
� Amount Remitted
C�- � �� r'eiC/R P MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
�' ,�o.r��,�;
�:,� I �C�� C��.�� � RE6ISTER OF WILLS
,y �i/ `'� 1 COURTHOUSE SQUARE
/V���l "``��`�/�C��� � �(.')(J,_��y� CARLISLE PA 17013
CUT AL�NC+ THIS L IN� y
REV- _ ___ RETAI:�! LOl�tER PORTION FGR }OUR REC�F�rlS E-�
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 �
ESTATE OF:VANDERSLICE DATE: 12-01-2014
PEGGY J DATE OF DEATH:06-25-2013
FILE NO. : COUNTY:CUMBE� R�
21 13-0744 S.S/D.C.
NO. : 21g-26-7449
TAX RETURN WAS: (X) ACCEPTED AS FILED ACN: 13172019
� ) CHANGED
FINANCIAL INSTITUTION: SANTANDER BANK �R TRUST ASSET INFORMATION
TYPE OF ACCOUNT: C �SAVINGS O CHECKING C JTRUST ACCOUNT NO. : 0774038343
DATE ESTABLISHED 01-11-1991 � �TIME CERTIFICATE
Account Balance
Percent Taxable 5.595.92 NOTE: TO ENSURE PROPER CREDIT TO
X 0.500
Amount Subject to Tax YOUR ACCOUNT, SUBMIT THE
Debts and Deductions - 2'�9�•96 UPPER PORTION OF THIS NOTICE
Taxable Amount '�� WITH YOUR TAX PAYMENT TO THE
Tax Rate 2,797.96 REGISTER OF WILLS AT THE
Tax Due Y 15
419.69 ABOVE ADDRESS. MAKE CHECK
7AX CiZEDjjg: OR MONEY ORDER PAI�LE TO�Q
��RE�IST�R 0!" WI�LS�g�.�
PAYMENT RECEIPT n ""
DATE NUMBER DISCOUNT (+) � � G7
INTEREST/PEN PAID (-� AMOUNT PAID �
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INTEREST IS CHA�f�ED THROUGH 12-09-2014 �� �
AT THE RATES APF'LICABLE AS OUTLINED ON THE TOTAL TAX PAYMENT
REVERSE SIDE OF I'HIS FORM BALANCE OF TAX DUE •00
INTEREST AND PEN. 419.69
TOTAL DUE $•91
428.60
* IF PqID AFTER TH:tS DATE, SEE REVERSE FOR CALCULATION OF ADDITTONAL INTEREST. *
IF TOTAL DUE IS F:�FLECTED AS A ^CREDIT^ (�R�, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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