HomeMy WebLinkAbout06-30-15 (3) BUREAU OF INDIVIDUAL TAXES Pennsylvania
NOTICE OF INHERITANCE TAX
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION R�Cw,��`�, �1rPiP_LAISEAQENT, ALLOWANCE OR DISALLOWANCE __._
PO BOX 280601 Cn{ Tc bF �EDUC TONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRISBURG PA 17128-0601 R L b l J ! C n r"7 �''J LJbOTLY HELD OR TRUST ASSETS
ntr DATE 06-29-2015
?015 AIN 30 FA 3 99 ESTATE OF ROURKE VERA
DATE OF DEATH 03-28-2015
�Lt,;:. �� FILE NUMBER 21 15-0435
COUNTY CUMBERLAND
ORPHANS' CHU SSN/DC 577-09-1103
HELEN M BC�W((fi��RS3`� ,. C)-, PA APPEAL
15124988
10204 TYBURN TERAPPEAL BY DATE:08-28-2015
BETHESDA MD 20814-2268 (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--
C1
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REV-1548 EX AFP
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 06-29-2015
ESTATE OF: ROURKE VERA DATE OF DEATH:03-28-2015 COUNTY:CUMBERLAND
FILE NO. : 21 15-0435 S.S/D.C. NO. : 577-09-1103 ACN: 15124988
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 2494-05
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 10-01-1985
Account Balance 192,459.21 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 96,229.61 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 96,229.61 REGISTER OF WILLS AT THE
Tax Rate x . 15 ABOVE ADDRESS. MAKE CHECK
Tax Due 14,434.44 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
05-29-2015 CD020742 721 .72 13,712.71
06-22-2015 SBADJUST .00 .01
TOTAL TAX PAYMENT 14,434.44
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.