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HomeMy WebLinkAbout01-08-10 (2)r i j". ~ r ''.. ~aOT~IGE OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES - RPP~~T~~~IE~T, ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIVISION ~ ~ ~ ITkD11GT~,¢NS, AND ASSESSMENT OF TAX ON PO BOX 280601 {,_,~ „!~ HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS 2G10 JAN -$ P~1 ~~ ~ 2 v~ ~'~ t QRP`r~~~; ~ ~C' !~~` SHARON E SAYLOR~;t,J Y~r~r`~ k ''1 ~' 1, ~~ 22 CREEK BANK DR MECHANICSBURG PA 17050-1814 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 EX AFP (12-09) 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 09173428 APPEAL DATE: 02-26-2010 (See reverse side under Objections) Amount Re®itted ~- 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 ~ REV-1548 EX AFP C12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 12-28-2009 ESTATE OF: SAYLOR FILE NO.: 21 09-1104 S.S/D.C. NO.: 210-12-4660 ACN: 09173428 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO.: 000005004629554 TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 07-12-2004 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 ~ CD012037 2.01 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 40.22 TOTAL TAX PAYMENT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE ~ 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. __~ .,~..~.,~~ ~rnr nr rurc FORM FOR INSTRUCTIONS. DONALD S DATE OF DEATH: 10-13-2009 COUNTY: CUMBERLAND 1,787.37 X 0.500 893.69 _ .00 893.69 Y .45 40.22 DISCOUNT (+) INTEREST/PEN PAID (-) C ~~ ~/