HomeMy WebLinkAbout07-30-10 (2)._ ... _ - r~+r
BUREAU OF INDIVIDUAL- TAXES ~"" NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~ ~` ~ ~ '1 APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~ ~ - -- OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
:,
,•. ~. -, A
~~ ~.. ,
~`~.
r,. • ~
., ~ ~ ,
t_
DONNA "` BROSIUS
6342 S POWDERHORN RD
MECHANICSBURG PA 17050
pennsylvania ~i
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-09)
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 10118861
APPEAL BY DATE:10-O1-2010
(See reverse side under Objectr.'ons)
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 01=
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
COUIJTY: CUMBERLAND
~1CN : 10118861
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MID PENN BANK ACCOUNT NO.: 901-67'5-9
TYPE OF ACCOUNT: C )SAVINGS C ~ 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
X 0.166
852.83
-_ . 0 0
852.83
x .045
38.38
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TA}; PAYMENT TO THE
REGISTER OF MILLS 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 38.38
TOTAL TAX PAYMENT 38.38
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 TDTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
c..,Z