HomeMy WebLinkAbout04-06-15 (3) BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX P e n n Sy LVa rn a INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
PO BOX 280601 } 0Q E.D OF F1 GE ;O F' OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRISBURG PA,} B-06 JOINTLY HELD OR TRUST ASSETS
REGISTER OF WILLS
DATE 04-06-2015
. �fp � Lt ESTATE OF ADAMS NANCY
zi PPR f\ AM 1 DATE OF DEATH 12-17-2014
FILE NUMBER 21 15-0249
CLERNK GF' COUNTY CUMBERLAND
URT
JAMES ORPH ,JiKPSSN/DC 0634ACN 15106522
17 SI R��,(17RA'�D C`..)., PA APPEAL BY DATE:06-05-2015
MIDDLETOWN PA 17057-3342 (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--
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: 04-06-2015
ESTATE OF:ADAMS NANCY DATE OF DEATH:12-17-2014 COUNTY:CUMBERLAND
FILE NO. : 21 15-0249 S.S/D.C. NO. : ACN: 15106522
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: HERSHEY FCU ACCOUNT NO. : 15510-S1011
TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST ( ))TIME CERTIFICATE
DATE ESTABLISHED 10-01-1981
Account Balance 2,681 .59 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 1,340.80 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 1,340.80 REGISTER OF WILLS AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 60.34 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
03-04-2015 CD020312 3.02 57.32
TOTAL TAX PAYMENT 60.34
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.