HomeMy WebLinkAbout02-17-15 (4) . �
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX PennsylvaniaDEPARTMENT OF REVENUE
INHERITANCE TAX DIV SI r APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
pX( jd3[ l� j 1 i i V C OF OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HAkRiS$Ll'1G Pk 17128:0.601 , , JOINTLY HELD OR TRUST ASSETS
REGIS ! t�F� C r �"1i.mLS
DATE 02-16-2015
GIFEB
1 17 FM 15 ESTATE OF DLUZESKI BENJAMIN
J L 11 DATE OF DEATH 08-27-2012
_ FILE NUMBER 21 14-0297
CLE-r; l O COUNTY CUMBERLAND
-
-E DLUZkSKI ACN 14113600
GUf,,034 A -fLLIAM 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 —01 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: 14113600
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WELLS FARGO ACCOUNT NO. : 000006861973862
TYPE OF ACCOUNT: ( )SAVINGS ( )0 CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 08-09-2011
Account Balance 3,912.83 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 1,956.42 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 1,956.42 REGISTER OF WILLS AT THE
Tax Rate Y . 15 ABOVE ADDRESS. MAKE CHECK
Tax Due 293.46 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 CDO18957 .00 293.46
02-06-2015 WRITEOFF .00 7.34
TOTAL TAX PAYMENT 293.46
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. (w\\
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.