HomeMy WebLinkAbout08-31-15 pennsylvania
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
RECORDED O�=FiCE OF
P,EG1C s �_.-3 L— -� _�S DATE 08-31-2015
ESTATE OF BAKSI DOLORES
DATE OF DEATH 03-09-2015
31. Fn 1� FILE NUMBER 21 15-0712
U COUNTY CUMBERLAND
„-- SSN/DC
S A N D R A C LE M ,BAKSIACN 15131801
371OAft1;CAT,'RD _ APPEAL BY DATE:10-30-2015
N6tVJp L E I r ='` PA.`17241-9725 (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: 08-31-2015
ESTATE OF: BAKSI DOLORES DATE OF DEATH:03-09-2015 COUNTY:CUMBERLAND
FILE NO. : 21 15-0712 S.S/D.C. NO. : ACN: 15131801
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION:-S & T BANK ACCOUNT NO. : 201050561
TYPE OF ACCOUNT: ( )SAVINGS ( )0 CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 03-08-2011
Account Balance 753.03 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 376.52 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 376.52 REGISTER OF WILLS AT THE
Tax Rate Y .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 16.94 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
08-03-2015 CD021076 .00 16.94
TOTAL TAX PAYMENT 16.94
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" CCR), YOU MAY BE DUE A REFUND. \
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. \�