HomeMy WebLinkAbout05-07-10 (3)E.~, ~~„~'}t"rl ? ?'~~'"t~~`~-ICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~`. ,,,.,°° pPPR ~L~~IENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~~ ~~~- ?;..~ a.. ~~'.•
PO BOX 280601 "'~' ~ ~ DEIIU.C.TIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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STEPHANIE N TESL~~iR~~ ~'~.~
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 08-27-2Q09
FILE NUMBER 21 09-038
COUNTY CUMBERL~IND
SSN/DC 193-36-4451
ACN 10104441
APPEAL BY DATE:07-'09-2010
(See reverse side under 01~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: 0~-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: 10104441
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: BANK OF AMERICA NA ACCOUNT NO.: 91000082495668
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING CX)TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 03-12-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
4,180.47 NOTE:
X 1.000
4,180.47
- .00
4,180.47
Y .15
627.07
TO ENSURE'PROPER CREDIT TO
YOUR ACCOIUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER C1F WILLS AT THE
ABOVE ADDIRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
03-29-2010 CD012556 .00 627.07
TOTAL TAX PAYMENfi 627.07
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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