HomeMy WebLinkAbout09-14-15 pp q NOTICE OF INHERITANCE TAX PennsyLvania
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INHERITANCE T I_.VISJON �''i�� c APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
A ,q ^ ' 41t . REV-1548 EX AFP (11-14)
PO BOX 280�1�I�:+ - OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 �p JOINTLY HELD OR TRUST ASSETS
2015 Up 19 DATE 09-15-2015
ESTATE OF WORK JOHN T
DATE OF DEATH 04-15-2015
OR� ��q i FILE NUMBER 21 15-0490
COUNTY CUMBERLAND
HON{nF BERVh' , SSN/DC
EZBIANSKY ACN 15125129
103 FAIRWAY DR APPEAL BY DATE:11-14-2015
MECHANICSBURG PA 17055-5710 (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:WORK JOHN T DATE OF DEATH:04-15-2015 COUNTY:CUMBERLAND
FILE NO. : 21 15-0490 S.S/D.C. NO. : ACN: 15125129
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 156654-05
TYPE OF ACCOUNT: ( X)SAVINGS ( ) CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 04-17-2001
Account Balance 2,483.83 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 413.98 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 413.98 REGISTER OF WILLS AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 18.63 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
PAYMENT MUST BE MADE BY 01-16-2016*. TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 18.63
INTEREST AND PEN. .00
TOTAL DUE 18.63
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.