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HomeMy WebLinkAbout01-08-10BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 "'" ~ ` ~ =r ~-.,'~ rfD~,~!~E OF INHERITANCE TAX I~fQRAIS§ME~T. ALLOWANCE OR DISALLOWANCE i~ ~ ;-t1*`.DEDUfxF-IONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS SHARON E SAYLO `` 22 CREEK BANK DR MECHANICSBURG PA 17050-1814 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 IX AFP Q2-09) DATE 12-28-2009 ESTATE OF SAYLOR DONALD S DATE OF DEATH 10-13-2009 FILE NUMBER 21 09-1104 COUNTY CUMBERLAND SSN/DC 210-12-4660 ACN 09173427 APPEAL DATE: 02-26-2010 (See reverse side under Objections) A®ount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ""'~ --RETAIN-LOWER-PORTION-FOR YOUR-RECORDS-_ 4""------------------- REV-1548 EX AFP C12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUDATESSETS - _ 09 ESTATE OF: SAYLOR DONALD S DATE OF DEATH: 10-13-2009 COUNTY: CUMBERLAND ACN: 04173427 FILE NO.: 21 09-1104 S.S/D.C. NO.: 210-12-4660 TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION ACCOUNT NO.: 000005140240789 FINANCIAL INSTITUTION: PNC BANK NA TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 12-13-2002 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: PAYMENT RECEIPT DATE NUMBER 11-24-2009 I CD012036 21.62 NOTE: TO ENSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." AMOUNT PAID 432.47 TOTAL TAX PAYMENT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 19,221.09 X 0.500 9,610.55 _ .00 9,610.55 .45 432.47 DISCOUNT C+) INTEREST/PEN PAID (-) 0 .62 ~ IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR). YOU MAY BE DUE A REFUND. _ __..___~ ...,.~ nr ruTC FORM FOR INSTRUCTIONS.