HomeMy WebLinkAbout05-07-10°`"'''~r"'1~"~'"F'~ ('~"R~~SICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES-,-' ~~
INHERITANCE TAX DIVISION ~ ~ r.. ~'AP to ENT, ALLOWANCE OR DISALLOWANCE
PO Box 2BO6o1 ,,~~ ~~-~.; :~F i~;1~I~l~TIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ~'v.Vt,,1=4' ~ ~`" ~~'`~Q'INTLY HELD OR TRUST ASSETS
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STEPHANIE N TES~~~~`~,~Q ~~;*
300 ADAMS RD
CARLISLE PA 17015
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-09)
DATE 05-10-2010
ESTATE OF TESLAR STEPHEN D
DATE OF DEATH 08-27-209
FILE NUMBER 21 09-0$38
COUNTY CUMBERL~-ND
SSN/DC 193-36-4451
ACN 101044351
APPEAL BY DATE:07-!09-2010
(See reverse side under O~ijections)
Amount Remitted
MAKE CHECK PAYABLE ANDiREMIT 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 DISALLOWANCIE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 05-10-2010
ESTATE OF:TESLAR STEPHEN D DATE OF DEATH:08-27-2009 ~COUNTY:CUMBERLAND
FILE NO.: 21 09-0838 S.S/D.C. NO.: 193-36-4451 ACN: 10104439
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: BANK OF AMERICA NA ACCOUNT NO.: 91p00082495590
TYPE OF ACCOUNT: C SAVINGS C ) CHECKING (XI TRUST ( TIME CERTIFICiATE
DATE ESTABLISHED 03-12-2008
Account Balance 10,663.66 NOTE: TO ENSURE'PROPER CREDIT TO
Percent Taxable X 1.000 YOUR ACCOIUNT, SUBMIT THE
Amount Subject to Tax 10,663.66 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 10,663.66 REGISTER OF WILLS AT THE
Tax Rate Y .15 ABOVE ADDiRESS. MAKE CHECK
Tax Due 1,599.55 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
03-29-2010 CD012554 .00 1,599.55
TOTAL TAX PAYMEN'fi 1,599.55
BALANCE OF TAX D E .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.
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