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HomeMy WebLinkAbout09-14-15 NOTICE OF INHERITANCE TAX pennsyLvania BUREAU OF INDIVIDUA, DEPARTMENT OF REVENUE INHERITANCE TAX R{V:C;0)K�ff'0FF1CTE_ OFAPPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 „• OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14) HARRISBURG PA 171Wa_qLJC,_' E' LS JOINTLY HELD OR TRUST ASSETS ms ISEP 19 R M 11 J DATE 09-15-2015 ESTATE OF BARANISHYNSTAKE MELISSA A DATE OF DEATH 05-14-2015 FILE NUMBER 21 15-0557 CLE, COUNTY CUMBERLAND ORPHAKI('3* SSN/DC NATHANO,r4RANISHYN ACN 15130171 1311 N MEXICO 236 APPEAL BY DATE:11-14-2015 U 11 R PORTALES NM 88130-9412 (See reverse side under Objections) Amount Remitted F MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS I COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS 4— z11:143-------------------------------------------------------------------- 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: 09-15-2015 ESTATE OF: BARANISHYNSTAKE MELISSA A DATE OF DEATH:05-14-2015 COUNTY:CUMBERLAND FILE NO. : 21 15-0557 S.S/D.C. NO. : ACN: 15130171 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION:-CORNERSTONE FCU ACCOUNT NO. : 77557-01 TYPE OF ACCOUNT: ( X)SAVINGS C CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 05-06-2002 Account Balance 2,182.53 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 1 ,091 .27 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 1,091 .27 REGISTER OF WILLS AT THE Tax Rate y .045 ABOVE ADDRESS. MAKE CHECK Tax Due 49.11 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT.” TAX CREDITS: PAYMENT RECEIPT DISCOUNT AMOUNT PAID DATE NUMBER INTEREST/PEN PAID 08-10-2015 CD021112 2.46 46.65 TOTAL TAX PAYMENT 49.11 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.