HomeMy WebLinkAbout02-17-15 (2) BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX pennsyLvaniaDEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 � { G F F}L E 0 E OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRISBURG PA � I8-d01 JOINTLY HELD OR TRUST ASSETS
REGIS T�;a -,F VILLS
DATE 02-16-2015
ESTATE OF DLUZESKI BENJAMIN
?0!5 FEB 17 FM 1 15 DATE OF DEATH 08-27-2012
FILE NUMBER 21 14-0297
CLQ'-, :t OF COUNTY CUMBERLAND
DOLOREQRF)IEAbE"-UZE'S'KI I T SSN/DC
ACN 14113599
6038G�J)I /CM ,bR ! j;A4 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. : 197-60-7789 ACN: 14113599
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WELLS FARGO ACCOUNT NO. : 000001484057862
TYPE OF ACCOUNT: ( ))SAVINGS C ) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 06-29-2011
Account Balance 1,319.74 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 659.87 UPPER PORTION OF THIS NOTICE
Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 659.87 REGISTER OF WILLS AT THE
Tax Rate x . 15 ABOVE ADDRESS. MAKE CHECK
Tax Due 98.98 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
03-28-2014 CDO18961 .00 98.98
02-09-2015 SBADJUST .00 2.48
TOTAL TAX PAYMENT 98.98
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. \\V�,
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.