HomeMy WebLinkAbout02-23-15 Pennsylvania
NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES it DEPARTMENT OF REVENUE
INHERITAIaIC-E��TTA-x-mxISIOhf',�f 1 C E OF APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX i8f6blvt L i-, OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRISBUR& PM17iY8=0601 �`t` (_LS JOINTLY HELD OR TRUST ASSETS
DATE 02-24-2015
7015 FEB 23 p il 12 J3 ESTATE OF HOLSTINE MARY E
DATE OF DEATH 10-23-2014
C1E F FILE NUMBER 21 15-0024
COUNTY CUMBERLAND
4 }lt� �M,' _• SSN/DC
GrrIL COVERT • ACN 14162099
AW S 'ORWAY ST APPEAL BY DATE:04-25-2015
MECHANICSBURG PA 17055-3445 (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 4--
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REV-1548 EX AFP (11-14)
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: HOLSTINE MARY E DATE OF DEATH:10-23-2014 COUNTY:CUMBERLAND
FILE NO. : 21 15-0024 S.S/D.C. NO. : ACN: 14162099
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 287352-00
TYPE OF ACCOUNT: ( X)SAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 06-16-2006
Account Balance 307.79 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 153.90 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 153.90 REGISTER OF WILLS AT THE
Tax Rate Y • 15 ABOVE ADDRESS. MAKE CHECK
Tax Due 23.09 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-06-2015 CD020105 1. 15 21 .94
TOTAL TAX PAYMENT 23.09
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. �jJ