HomeMy WebLinkAbout03-02-15 NOTICE OF INHERITANCE TAX P`n n Sytva i s
BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE
INHERITANCE TAX TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE Ali
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JOINTLY HELD OR TRUST ASSETS
C,'J ` DATE 03-02-2015
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ESTATE OF HOLSTINE MARY E
HIS 2 DILE NUMBERTH 21
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GILVlt�klr,�M�COVERT t ACN 14162097
21{� S,rN$RWAY ST- - °, APPEAL BY DATE:05-01-2015
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17 0 5 5-34 4 5 (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 4--
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: HOLSTINE MARY E DATE OF DEATH:10-23-2014 COUNTY:CUMBERLAND
FILE NO. : 21 15-0024 S.S/D.C. NO. : ACN: 14162097
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 363391-00
TYPE OF ACCOUNT: ( X)SAVINGS ( ) CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 07-31-2009
Account Balance 1,067. 11 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 533.56 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 533.56 REGISTER OF WILLS AT THE
Tax Rate x . 15 ABOVE ADDRESS. MAKE CHECK
Tax Due 80.03 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
01-06-2015 CD020107 4.00 76.03
TOTAL TAX PAYMENT 80.03
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. `in