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HomeMy WebLinkAbout12-29-14 pennsylvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 p n F DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14> HARRISBURG PA 171PO&WRDE� 0FF«�' JOINTLY HELD OR TRUST ASSETS REG ISTEER OF WILLS DATE 12-29-2014 ESTATE OF POLAN RICHARD L -29-2014 M4 DEC 4M 12 21 DATE OF DEATH FILE NUMBER21 14-1108 Q� COUNTY CUMBERLAND CLERK SSN/DC DIANA OR", po COURT ACN 14161849 104 S F i-CSiT# fit Qt�� APPEAL BY DATE:02-27-2015 ,,V MECHANI B G PA 17055-6307 (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 RETAIN LOWER PORTION FOR YOUR RECORDS 4-- ------------------------------------------------------------------------------------------- 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: 12-29-2014 ESTATE OF: POLAN RICHARD L DATE OF DEATH:10-29-2014 COUNTY:CUMBERLAND FILE NO. : 21 14-1108 S.S/D.C. NO. : ACN: 14161849 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 275020-11 TYPE OF ACCOUNT: C )SAVINGS ( X) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 11-18-2005 Account Balance 621 .48 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 310.74 UPPER PORTION OF THIS NOTICE Debts and Deductions 90.00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 220.74 REGISTER OF WILLS AT THE Tax Rate x . 045 ABOVE ADDRESS. MAKE CHECK Tax Due 9.93 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-18-2014 CDO19938 .46 8.83 12-22-2014 SBADJUST .00 .64 TOTAL TAX PAYMENT 9.93 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. 1a\1J�