HomeMy WebLinkAbout12-19-14 �
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX PennsylvaniaDEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601ppF((�; {{��(� �+ REV-1548 EX AFP (11-14)
HARRISBURG PA�1Z8o06RED OFFICE 0 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REGISTER OF WILLS
DATE 12-22-2014
OFC 19 p,f 1{ 1120 ESTATE OF HEBERLIG MILDRED C
i' DATE OF DEATH 10-01-2014
FILE NUMBER 21 14-0996
CLERIN OF COUNTY CUMBERLAND
WAYNE ORPWh1iiEkL(:yGRa SSN/DC
ACN 14161589
225 C!)., PA, APPEAL BY DATE:02-20-2015
PO BOX 386 (See reverse side under Objections)
MOUNT WOLF PA 17347-0386 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ---I RETAIN LOWER PORTION FOR YOUR RECORDS (—
REV-1548 EX AFP C11-14)--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 12-22-2014
ESTATE OF: HEBERLIG MILDRED C 'DATE OF DEATH:10-01-2014 COUNTY:CUMBERLAND
FILE NO. : 21 14-0996 S.S/D.C. NO. : ACN: 14161589
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO. : 20040614
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING C )TRUST CX)TIME CERTIFICATE
DATE ESTABLISHED 06-06-1991
Account Balance 8,057.32 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.083 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 671.42 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 671 .42 REGISTER OF WILLS AT THE
Tax Rate x . 15 ABOVE ADDRESS. MAKE CHECK
Tax Due 100.71 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
11-18-2014 CDO19936 5.04 95.67
TOTAL TAX PAYMENT 100.71
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
e 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.