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HomeMy WebLinkAbout04-23-10BUREAU OF INDIVIDUAL TAXES '~'' r--~'-,~ ~'TCDTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION ~ - -_ APPRi~-I3~MENT, ALLOWANCE OR DISALLOWANCE PO Box 280601 .~~ O~~-Z~EDt~~CTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 "- `' ' `" ' JOINTLY HELD OR TRUST ASSETS ~~-~ ~~ 23 P~ ~2~ ~3 ~-c I - S T E P H AN I E J BAY ~~`~;~' ~`' ~' ~ ~': ~~~'~~' ` ~ 3810 CHESTNUT ST CAMP HILL PA 17011-4316 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 EX AFP (12-09) DATE 04-26-2010 ESTATE OF HALLER DOROTHY E DATE OF DEATH 01-04-2010 FILE NUMBER 21 10-0317 COUNTY CUMBERLAND SSN/DC 174-20-4530 ACN 10105918 APPEAL BY DATE:06-25-2010 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE 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: 04-26-2010 ESTATE OF:HALLER DOROTHY E DATE OF DEATH:O1-04-2010 FILE NO.: 21 10-0317 S.S/D.C. NO.: 174-20-4530 ACN: 10105918 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PSECU ACCOUNT NO.: 0174204530-S1 TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 01-10-1994 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 13,671.35 X 0.500 6,835.68 - 3,066.41 3,769.27 x .45 169.62 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." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID PAYMENT MUST BE MADE BY 10-05-2010. TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 169.62 INTEREST AND PEN. .00 TOTAL DUE 169.62 COUNTY:CUMBERLAND * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. -.~ ,.~ SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~ "!~ i ' ~~ + ~r ~ ~~ NOTICE OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES _ .. ~~~. J• INHERITANCE TAX DIVISION ..,. - ~?PR~(-ISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 - _ _ '; ~,~; ~~OF_ ;DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS "'~~ APP 23 Pit 1~~ t+3 ~I E~~ STEPHANIE J B "`F.T~:'.--'~ ~~4~ ..r." ' ~ ~~'. 3810 CHESTNUT ST CAMP HILL PA 17011-4316 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 EX AFP (12-09) DATE 04-26-2010 ESTATE OF HALLER DOROTHY E DATE OF DEATH 01-04-2010 FILE NUMBER 21 10-0317 COUNTY CUMBERLAND SSN/DC 174-20-4530 ACN 10105919 APPEAL BY DATE:06-25-2010 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE 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: 04-26-2010 ESTATE OF:HALLER DOROTHY E DATE OF DEATH:O1-04-2010 FILE NO.: 21 10-0317 S.S/D.C. NO.: 174-20-4530 ACN: 10105919 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED FINANCIAL INSTITUTION: PSECU JOINT OR TRUST ASSET INFORMATION ACCOUNT NO.: 0174204530-S4 TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 01-10-1994 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAY f`RGi1TTC 2,059.88 NOTE: X 0.500 1,029.94 - .00 1,029.94 Y .45 46.35 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." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID PAYMENT MUST BE MADE BY 10-05-2010*. TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 46.35 INTEREST AND PEN. .00 TOTAL DUE 46.35 COUNTY:CUMBERLAND * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.