HomeMy WebLinkAbout04-20-15 BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX PennsylvaniaDEPARTMENT 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)
HARRISBURG PA 17128-06 OFFICE OF JOINTLY HELD OR TRUST ASSETS
RECORDED lit rdil LS DATE 04-20-2015
R ED1St= ESTATE OF SIMOKAT PATRICIA A
DATE OF DEATH 09-09-2013
?OJC3 FFR �Q FILE NUMBER 21 13-1268
( f COUNTY CUMBERLAND
L1 SSN/DC
MARJoior;U`J, [WINTER ACN 14128469
12yp�T�,ONEYCkti• VST APPEAL BY DATE:06-19-2015
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1?k� _PAA�15563-6004 (See reverse side under Objections)
cum t"`" 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--
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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: 04-20-2015
ESTATE OF: SIMOKAT PATRICIA A DATE OF DEATH:09-09-2013 COUNTY:CUMBERLAND
FILE NO. : 21 13-1268 S.S/D.C. NO. : ACN: 14128469
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: FIRST NB OF PENNSYLVANIA ACCOUNT NO. : 5218447
TYPE OF ACCOUNT: ( )SAVINGS ( )0 CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 10-15-1991
Account Balance 2,095.60 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 1 ,047.80 UPPER PORTION OF THIS NOTIGE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 1 ,047.80 REGISTER OF WILLS AT THE
Tax Rate k . 15 ABOVE ADDRESS. MAKE CHECK
Tax Due 157. 17 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
INTEREST IS CHARGED THROUGH 04-28-2015 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 157. 17
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 4. 16
TOTAL DUE 161 .33
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.