HomeMy WebLinkAbout12-19-14 NOTICE OF INHERITANCE TAX pe n n Sy LVa rn a
BUREAU OF INDIVIDUAL TAXES l�+ DEPARTMENT OF REVENUE
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,jANCE TAX REV-1548 EX AFP (11-14)
HARRISBURG PA REG15 E; OF WILLS JOINTLY HELD OR TRUST ASSETS
V'Jj DATE 12-22-2014
21{f �{� p�il 20 ESTATE OF HAYS SARA L
l �7 tl DATE OF DEATH 08-24-2014
FILE NUMBER 21 14-1009
CLERK OF COUNTY CUMBERLAND
KENNETFIQRF %lY'S COURT SSN/DC
ACN 14156507
6 GLEe BEALAND u
APPEAL BY DATE:02-20-2015
MECHANICSBURG PA 17055-6137 (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 —01 RETAIN LOWER PORTION FOR YOUR RECORDS 4--
REV-1548 EX AFP (11-14)--------------------------------------------------------------------
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: HAYS SARA L DATE OF DEATH:08-24-2014 COUNTY:CUMBERLAND
FILE NO. : 21 14-1009 S.S/D.C. NO. : ACN: 14156507
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: FARMERS & MERCHANTS TRUST CO ACCOUNT NO. : 3015696
TYPE OF ACCOUNT: C )SAVINGS ( X) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 05-02-2008
Account Balance 3,539.02 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 1,769.51 UPPER PORTION OF THIS NOTICE
Debts and Deductions - 2,511 .05 WITH YOUR TAX PAYMENT TO THE
Taxable Amount .00 REGISTER OF WILLS AT THE
Tax Rate x .12 ABOVE ADDRESS. MAKE CHECK
Tax Due .00 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
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.