HomeMy WebLinkAbout02-17-15 BURSIYPDUkL�TAXS Of NOTICE OF INHERITANCE TAX 07
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FIB 17 rrm DATE 02-16-2015
ESTATE OF DLUZESKI BENJAMIN
G LFR DATE OF DEATH 08-27-2012
< < c �,} FILE NUMBER 21 14-0297
ORPtr+}i'> L 't COUNTY CUMBERLAND
wS� _." E ~DLUZESKI SSN/DC
ACN 14113598
6038 WILLIAM DR APPEAL BY DATE:04-17-2015
MECHANICSBURG PA 17050-6851 (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
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: 02-16-2015
ESTATE OF:DLUZESKI BENJAMIN DATE OF DEATH:08-27-2012 COUNTY:CUMBERLAND
FILE NO. : 21 14-0297 S.S/D.C. NO. : ACN: 14113598
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WELLS FARGO ACCOUNT NO. : 000001484057854
TYPE OF ACCOUNT: ( ))SAVINGS C ) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 06-29-2011
Account Balance 527.37 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 263.69 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 263.69 REGISTER OF WILLS AT THE
Tax Rate Y .15 ABOVE ADDRESS. MAKE CHECK
Tax Due 39.55 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
03-28-2014 CDO18963 .00 39.55
02-09-2015 SBADJUST .00 .99
TOTAL TAX PAYMENT 39.55
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.