HomeMy WebLinkAbout05-07-10 (2)r ,~,~, ,~b-- ~.~.~,~, ~-._- pennsyLvania ~
BUREAU OF INDIVIDUAL TAXES ~~ .~``lE ~.~~--=% -'~1 dlo~I OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~' r ,..y~RPR11t~S1~lN N~', ALLOWANCE OR DISALLOWANCE
;,~~.~ _. -. ` , s + REV-1548 EX AFP C12-09)
PO BOX 280601 _~.~~..~~v ~~~DE=DUE'r OILS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
~~~~~~~ .•"~ ~~~~= QJ DATE 05-10-2010
G~ERK G,~t,;RT
Q~~~~~ ~,~,~
JEREMY W H E L M ~~~~-~~'~ ~~~ ~'~ -'
3520 BEACH RUN LN
MECHANICSBURG PA 17050
ESTATE OF KOHLHAAS EARL
DATE OF DEATH 10-22-2009
FILE NUMBER 21 10-0'352
COUNTY CUMBERLAND
SSN/DC 210-26-5896
ACN 1011182'9
APPEAL BY DATE:07-09-2010
(See reverse side under Qbjections)
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 '~
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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: 10111829
TAX RETURN WAS: CX~ ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO.:
711000024
TYPE OF ACCOUNT: CX)SAVINGS C ~ CHECKING C 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
TAY f DCiITTC.
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 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" CCR), YOU MAY BE DUE A REFUND. ^+;-`r\'~
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ,~Jil~i