HomeMy WebLinkAbout02-04-15 . �� pennsylvania
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENTOFREVENUE
INHERITANCE 7AX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14>
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
DATE 02-02-2015
ESTATE OF MURRAY DOROTHY L
DATE OF DEATH 03-19-2014
FILE NUMBER 21 14-0318
COUNTY CUMBERLAND
SSN/DC
RICHARD LAMARCA ACN 14139507
523 PENN AYR RD APPEAL BY DATE:04-03-2015
C A M P H I L L P A 17 O 11-2 0 5 6 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE '� RETAIN LOWER PORTIDN FOR YOUR RECORDS �
REV-I548 EX 14FP CI1-14�-----------------------------------------�-�-�------�-----�----------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 02-02-2015
ESTATE OF:MURRAY DOROTHY L DATE OF DEATH:03-19-2014 COUNTY:CUMBERLAND
FILE NO. : 21 14-0318 S.S/D.C. NO. : 184-26-2945 ACN: 14139507
TAX RETURN WAS: C ) ACCEPTED AS FILED (X� CHANGED SEE ATTACHED NOTICE
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WELLS FARGO ACCOUNT NO. : 247022058119934
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C �TRUST ( �TIME CERTIFICATE
DATE ESTABLISHED 04-29-1996
Account Balance .00 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 1.000 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax .00 UPPER PORTION OF THIS NOTICE
Debts and Deductions ' .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount .00 REGISTER OF WILLS AT THE
Tax Rate �[ . 15 ABOVE ADDRESS. M�1�E CHE�-�¢
Tax Due .00 OR MONEY�RDER PA�FA'BLE'�;��
"REGISTER�-O�WILL�AGE1JTt`_�"
TAX CREDITS: � a '.', � r� �-�
,. ,
`~:
PAYMENT RECEIPT DISCOUNT C+) i 7
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID � �- ;
12-18-2014 CD020059 .00 591 . 11 � . ,�� •,-i
`3 -:i
� F� ,..;, C'?
� � �� r_ (.,�1
. Q �'> �
. N
TOTAL TAX PAYMENT 591 . 11
BALANCE OF TAX DUE 591. 11CR
INTEREST AND PEN. .00
TOTAL DUE 591 .11CR
� IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. *
IF TOTAL DUE IS REFLECTED AS A "CREDIT^ CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
REV-1313 EX(7-14) APPLICATION FOR
REFUND OF official Use only
� pennsylvania pENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE/ESTATE
PO BOX 280601 TAX
HARRISBURG, PA 17128-0601 See Instructions on Reverse
TO: PA Department of Revenue
Bureau of Individual Taxes
PO BOX 280601
Harrisburg, PA 17128-0601
FROM: Official Representative Decedent Information
� � d��
Name �G��/�� �1��14f�.� Name of Decedent iW Ll 21��45/
Address � � c�� 7 QRi� File Number �./ / `� ' ��� �
��¢�(.(�1 �/ �L �, Date of Death 03 ' 1 � � �ej �
/ � Zb=����
� `7� / Social Security Number f '� �
Phone Number `�� ��— ��j�����7'
Email Address U' /��L`lt 1'`-C�. � �'��" I �d� • ���
The undersigned requests a refund in the amount of $ ���� f I for the above-referenced
decedent's estate.
REFUND REQUESTED ON:
� Original or Supplemental ❑Joint/Trust Assets � Remainder Return � Estate Tax
Probate Return
EXPLANATION OF OVERPAYMENT
, ��� G�.��e�`"` �
���� Gz� ���
, �� ����
� Z� , �.
�
;
�� zo �`.
,
Sign ure Date
Please allow six to eight weeks for the processing of your refund request.
REV-1470 EX(01-10)
��
� y� enns lvania
�r p y INHERITANCE TAX
� DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601
I PA 1 1
DECEDENT'S NAME FILE NUMBER
D Louise Murray 2114-0318
REVIEWED BY ACN
Amber/Agent 192 14139507
ITEM
SCHEDULE Np, EXPLANATION OF CHANGES
This account was reported and paid on the Inheritance tax return.
Page 1