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HomeMy WebLinkAbout05-07-10..~_ r r, -~. c~, r^ BUREAU OF INDIVIDUAL~~AX~S++~~1-~ ~'~'~'~ ~~ NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION ,-~~ - ~ ;^ !, X111 y~PRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 ~y;~„~t~,,~~: v: -i.t:~.~ DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601, - JOINTLY HELD OR TRUST ASSETS ZQ~D NAY -~ A~ 1 t ~ 0 ~~~ ~~~~ ~~5 AL EXA JC~kI~~. rR~...t~i`~~ C~S., P~ 55 LONGWOOD DR MECHANICSBURG PA 17050 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 EX AFP C12-09) DATE 05-10-2010 ESTATE OF KOHLHAAS EARL DATE OF DEATH 10-22-2009 FILE NUMBER 21 10-0352 COUNTY CUMBERLAND SSN/DC 210-26-5896 ACN 10111828 APPEAL BY DATE:07-09-2010 (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: 05-10-2010 ESTATE OF:KOHLHAAS EARL FILE NO.: 21 10-0352 S.S/D.C. NO.: 210-26-5896 COUNTY:CUMBERLAND ACN: 10111828 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO.: 711000024 TYPE OF ACCOUNT: (X)SAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 08-14-2000 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 493.69 NOTE: X 0.166 82.28 - .00 82.28 Y .045 3.70 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 03-30-2010 CD012565 .00 3.70 DATE OF DEATH:10-22-2009 TOTAL TAX PAYMENT 3.70 BALANCE OF TAX DIE .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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~,