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HomeMy WebLinkAbout07-30-10_ ..._ ! 'i`NOTICE OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES-- ~- - - ~J• INHERITANCE TAX DIVISION ~1P,Rf~/}~ISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 .. . .. OF .DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS 1. ~ ,J ~....._ , , :a: ~; , ~ r,~~•. DONNA BFYO`~.I,US - ~-,,, 6342 S POWDERHORN RD MECHANICSBURG PA 17050 _~:; Pennsylvania ~ DEPARTMENT OF REVENUE E REV-1548 EX AFP (12-09) DATE 08-02-2010 ESTATE OF BOHNER CLAYTON E DATE OF DEATH 10-16-2009 FILE NUMBER 21 09-1011 COUNTY CUMBERLAND SSN/DC 182-28-6558 ACN 10118860 APPEAL BY DATE:10-O1-2010 (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: 08-02-2010 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: 10118860 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MID PENN BANK ACCOUNT NO.: 309002530 TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING CXITRUST C )TIME CERTIFICATE DATE ESTABLISHED 05-19-2009 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 19,593.25 X 1.000 19,593.25 - .00 19,593.25 x .045 881.70 NOTE: TO ENSURE PRCIPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTIOf`I OF THIS NOTICE WITH YOUR TAB; PAYMENT TO THE REGISTER OF HIILLS AT THE ABOVE ADDRESS;. MAKE CHECK OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID 07-06-2010 CD013020 .00 881.70 TOTAL TAX PAYMENT 881.70 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 COUNTY:CUMBERLAND * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. .....~~ C