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HomeMy WebLinkAbout06-02-15 NOTICE OF INHERITANCE TAX P e n n sy Lva m a BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE _______ PO BOX 280601 pp rn n-^ IIF EDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14) HARRISBURG PA 17128-,&E V 0 R R L- t r=C , JOINTLY HELD OR TRUST ASSETS DATE 06-02-2015 ESTATE OF BENTLEY HOLLAND D His JUN 2 11-9_`► 11 J3 DATE OF DEATH 11-29-2013 FILE NUMBER ')�—I5—b61 C, E Cl- COUNTY CUMBERLAND SSN/DC AMY J Q3 �;11E'Y ACN 14137606 720 S MARKGEUTpST— APPEAL BY DATE:08-01-2015 MECHANICSBURG PA 17055-6414 (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: 06-02-2015 ESTATE OF: BENTLEY HOLLAND D DATE OF DEATH:11-29-2013 COUNTY:CUMBERLAND FILE NO. : S.S/D.C. NO. : ACN: 14137606 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: SANTANDER BANK ACCOUNT NO. : 0721090729 TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 05-19-2009 Account Balance 6,285.76 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 3,142.88 UPPER PORTION OF THIS NOTICE Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 3,142.88 REGISTER OF WILLS AT THE Tax Rate x • 15 ABOVE ADDRESS. MAKE CHECK Tax Due 471 .43 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 06-10-2015 TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 471.43 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 11.02 TOTAL DUE 482.45 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. \n SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. REV-1470 EX(01-10) -, 2114-1155 penn$ytvanla INHERITANCE TAX DEPARTMENT OF REVENUE 01/10/2013 EXPLANATION BUREAU OF INDIVIDUAL TAXES OF CHANGES PO Box 280601 HARRISBURG, 17128-0601 DECEDENT'S NAME Joan M Ruggieri 2114-1155 REVIEWED BY ACN Robin /Agent 191 14101966 ITEM SCHEDULE NO, EXPLANATION OF CHANGES Account was a rollover from another account, documentation is on file. ROW Page 1