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HomeMy WebLinkAbout05-07-10 ~~r~-p---~ -~~ ~~,~~_; ~ .f `'~~b~ E~ 0~' pennsylvania INHERITANCE TAX ~ BUREAU OF INDIVIDUAL INHERITANCE TAX DIVISION _ f ^ TAXES ~.~---, o DEPARTMENT OF REVENUE tt~~o~p.~.~I f1~I ~ii~T~,'• ALLOWANCE OR DISALLOWANCE ~! `~ ~~ ' ~ PO BOX 280601 , ~ L:; t -.L,r ~ s ~ ~.t. ,, REV-1548 EX AFP C12-09) OF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HEL D OR TRUST ASSETS ~~~~~~Y "~ AMi1~ OJ DATE 05-10-2010 ESTATE OF BOHNER CLAYTON E ~y c~~ ~~ DATE OF DEATH 10 - 16-20!09 ~~©VL~C f~ ~~~~ COUNTYUMBER ND MBERLA' ~vM~LC~I ~,~ ~;~„ ~ CU ~ SSN/DC 182 - 28 - 6558 CARL BOHNER ACN 10118862 102 CENTER AVE APPEAL BY DATE:07-09-2010 CHATHAM N J 0 7 9 2 8 (See reverse side under Ohj jections) 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:BOHNER CLAYTON E DATE OF DEATH:10-16-2009 FILE NO.: 21 09-1011 S.S/D.C. NO.: 182-28-6558 ACN: 10118862 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MID PENN BANK ACCOUNT NO.: 901-675-9 TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 11-09-2004 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 5,116.85 NOTE: X 0.166 852.83 - .00 852.83 Y .045 38.38 TO ENSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER DF 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 04-13-2010 CD012615 .00 38.38 TOTAL TAX PAYMENfi 38.38 BALANCE OF TAX D~JE .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. COUNTY:CUMBERLAND ~~ m