HomeMy WebLinkAbout06-22-15 (3) _ NOTICE OF INHERITANCE TAX • pe n n syLva rn a
BUREAU OF INDIVIDUALTAXES �i DEPARTMENT OF REVENUE
INHERITANPF
11ii(UCtjop)cFIC'E 4F APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRISBURG,--A, 7-12-80,601^,� Vf I LL0 JOINTLY HELD OR TRUST ASSETS
DATE 06-22-2015
��1r Vitti `2 r 12 24 ESTATE OF WAGNER RICHARD J
J U1� DATE OF DEATH 01-23-2015
�.: FILE NUMBER 21 15-0308
_ COUNTY CUMBERLAND
I�H�aC S' R SSN/DC
FAI�H ,K1I,NE � ACN 15107341
26,6.12t Pf ,N�CETONk-AVE APPEAL BY DATE:08-21-2015
CAMP HILL PA 17011-5442 (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 F�
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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: 06-22-2015
ESTATE OF:WAGNER RICHARD J DATE OF DEATH:01-23-2015 COUNTY:CUMBERLAND
FILE NO. : 21 15-0308 S.S/D.C. NO. : ACN: 15107341
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: FULTON BANK NA ACCOUNT NO. : 402-0111745
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING ( X)TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 12-21-2004
Account Balance 45,013.31 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 1 .000 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 45,013.31 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 45,013.31 REGISTER OF WILLS AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 2,025.60 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
04-15-2015 CD020511 101.28 2,025.60
TOTAL TAX PAYMENT 2,126.88
BALANCE OF TAX DUE 101 .28CR
INTEREST AND PEN. .00
TOTAL DUE 101.28CR
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. i