HomeMy WebLinkAbout02-23-15 . pennsyLvania
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRISBUR p�H 17128T060-± JOINTLY HELD OR TRUST ASSETS
REG hlE�:i t. r AGE GE
�� i J�'_° ILLS DATE 02-24-2015
ESTATE OF HOLLER LOIS M
❑ ,�, u�r� DATE OF DEATH 07-10-2013
L� FILE NUMBER 21 13-1006
COUNTY CUMBERLAND
{{�� is SSN/DC
GERJ I:4 L' `_H.OLLER ACN 14115629
(DiR[:AWSDA'LE DR APPEAL BY DATE:04-25-2015
,
G tF#H'I L L PA 17011-7935 (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: 02-24-2015
ESTATE OF: HOLLER LOIS M DATE OF DEATH:07-10-2013 COUNTY:CUMBERLAND
FILE NO. : 21 13-1006 S.S/D.C. NO. : ACN: 14115629
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SANTANDER BANK ACCOUNT NO. : 05711176779
TYPE OF ACCOUNT: ( )SAVINGS ( )) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 06-06-2002
Account Balance 702.09 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 351 .05 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 351.05 REGISTER OF WILLS AT THE
Tax Rate x .00 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" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.