HomeMy WebLinkAbout03-02-15 BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX Q7pennsytvania
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 2806 1 r OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRISBUR- �P/G Y8 UA 01 OFFICE CF JOINTLY HELD OR TRUST ASSETS
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RECISIf- Y
` r .riL. ._.r') DATE 03-02-2015
„ ESTATE OF FREEBURN JACQUELIN F
7M DATE OF DEATH 10-12-2014
FILE NUMBER 21 14-1040
COUNTY CUMBERLAND
C . ESSN/DC
WALT61p-sr,",!W' FREEBURNJR ACN 14167633
30 �JG2�S.T ST- APPEAL BY DATE:05-01-2015
CA�� 'Ft"I L'L PA 17011-3701 (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 —1 RETAIN LOWER PORTION FOR YOUR RECORDS 4--
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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: 03-02-2015
ESTATE OF: FREEBURN JACQUELIN F DATE OF DEATH:10-12-2014 COUNTY:CUMBERLAND
FILE NO. : 21 14-1040 S.S/D.C. NO. : ACN: 14167633
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO. : 5004840296
TYPE OF ACCOUNT: ( X)SAVINGS C ) CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 04-03-2006
Account Balance 2,473.07 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 1 ,236.54 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 1,236.54 REGISTER OF WILLS AT THE
Tax Rate Y .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 55.64 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-08-2015 CD020111 2.78 52.86
TOTAL TAX PAYMENT 55.64
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.