HomeMy WebLinkAbout06-30-15 (4) BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX PennsylvaniaDEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION /�/� }� //�� APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 RECORDED �.11"fJOFCDED`Dj0 NTLY HELD ORASSESSMENT
TRUST AS ETS TAX ON REV-1548 EX AFP (11-14)
HARRISBURG PA 17128-0601 p� n!c ` J
REGISTF,, f0) V. ILLS
n p� DATE 06-29-2015
ESTARORK
,`15 JUN' 30 pi m I 3 1U 9 DATETOFODEATH 03-28-2015 VERA
FILE NUMBER 21 15-0435
GL[its, OF COUNTY CUMBERLAND
HELEN M BOWPF3IAN15124
S' C0URT SSN/DC 9-1103
ACN 15124989
10204 TYBURNU9,kSERLAND CO., PA APPEAL 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
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: 06-29-2015
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: 15124989
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 2494-11
TYPE OF ACCOUNT: C )SAVINGS ( X) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 05-10-2008
Account Balance 22,221 .79 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 11 ,110.90 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 11, 110.90 REGISTER OF WILLS AT THE
Tax Rate x . 15 ABOVE ADDRESS. MAKE CHECK
Tax Due 1,666.64 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
05-26-2015 CD020737 83.33 1,583.30
06-22-2015 SBADJUST .00 .01
TOTAL TAX PAYMENT 1,666.64
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.