HomeMy WebLinkAbout05-20-15 (4) pennsyLvania
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
PO
HBOXT2 �I�(ESION�F FICE r OFPDEDUCTIONS,RAISEMENT AANDWASSESSMENTANCE OR SOFLTTAXNON
HARRISBURG PCE REV-1548 EX AFP cll-14)
A ;�T((L2�i8"':060771 f JOINTLY HELD OR TRUST ASSETS
RG�IJItft3L5
DATE 05-18-2015
UlJ i x(11 20 AM 1� �9 ESTATE OF BERNER CLARENCE T
MY. DATE OF DEATH 01-27-2015
FILE NUMBER 21 15-0347
CL LE T. CF COUNTY CUMBERLAND
'W HAI"-' SSN/DC
LOU E' _ V BEkNER ACN 15109600
4 ViiA:NISH- OAKS DRQ{ APPEAL BY DATE:07-17-2015
SAN LUIS OBISPO CA 93401-7846 (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: 05-18-2015
ESTATE OF: BERNER CLARENCE T DATE OF DEATH:01-27-2015 COUNTY:CUMBERLAND
FILE NO. : 21 15-0347 S.S/D.C. NO. : ACN: 15109600
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO. : 000005114107423
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 10-28-2013
Account Balance 14,101 .46 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.083 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 1 ,175.07 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 1,175.07 REGISTER OF WILLS AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 52.88 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (—) AMOUNT PAID
03-25-2015 CD020432 2.64 50.24
TOTAL TAX PAYMENT 52.88
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.