HomeMy WebLinkAbout09-14-15 (2) BUREAU OF INDIVIDUAL TAXES NDTICE OF INHERITANCE TAX pennsylvania�
INHERITANCE �L I LpN e n� APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
PO BOX 2...&Rti t--D of Fid`'- O�
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRISBURG PA i 0691--r1 .)- 11 11 15 JOINTLY HELD OR TRUST ASSETS
i _
DATE 09-15-2015
nis S 19 1 14, }� ESTATE OF COOMBS JR ROY E
J DATE OF DEATH 04-13-2015
FILE NUMBER 21 15-0453
CLE-l' ` COUNTY CUMBERLAND
MARTHAPRPIcl�F�ARVI`S �. SSN/DC
ACN 15123672
18 LCUf~'YAb1)6R, '. APPEAL BY DATE:11-14-2015
SANDY HOOK CT 06482-1531 (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
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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: 09-15-2015
ESTATE OF:000MBS JR ROY E DATE OF DEATH:04-13-2015 COUNTY:CUMBERLAND
FILE NO. : 21 15-0453 S.S/D.C. NO. : ACN: 15123672
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 311845-11
TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 04-17-2012
Account Balance 784.05 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 392.03 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 392.03 REGISTER OF WILLS AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 17.64 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
08-06-2015 CDC21089 .00 17.64
TOTAL TAX PAYMENT 17.64
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. V�J
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.