HomeMy WebLinkAbout08-27-10
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NOTICE
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BUREAU OF INDIVIDUAL TA~3C~s ~
~ AP~RAISEMENT, ALLOWANCE OR DISALLOWANCE '
INHERITANCE TAX DIVISION _ _
~ REV-1548 EX AFP (12-04?
PO BOX 280601 DEDUCTIONS,
OF AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-06D1 JOINTLY HELD OR TRUST ASSETS
<._ ;:.~;_~ e E '~~ ~..~ DATE 08-30-2010
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LAWRENCE M CHYLACK
519 DELP RD
SOUDERTON PA 18964-2112
THEODORE W DATE OF DEATH:05-18-2010
CUT ALONG THIS LINE '~'~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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REV-1548 EX AFP (12-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 08-30-2010
ESTATE OF:CHYLACK
FILE NO.: 21 10-0649 S.S/D.C. NO.: 186-22-354b
COUNTY:GUMBERLAND
ACN: 10132316
TAX RETURN WAS: {X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST
FINANCIAL INSTITUTION: PSECU
ESTATE OF CHYLACK THEODORE W
DATE OF DEATH 05-18-2010
FILE NUMBER 21 10-0649
COUNTY CUMBERLAND
SSN/DC 186-22-3546
ACN 10132316
APPEAL BY DATE:10-29-2010
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
ASSET INFORMATION
ACCOUNT NO.: 1202501774-S4
)TRUST C )TIME CERTIFICATE
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C
DATE ESTABLISHED 06-08-1992
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAY f RFi1TTC~
2,938.68 NOTE:
X 0.500
1,469.34
- .00
1,469.34
~ .045_
66.12
TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF 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
07-24-2010 CD013095 3.31 66.12
TOTAL TAX PAYMENT 69.43
BALANCE OF TAX DUE 3.31CR
INTEREST AND PEN. .00
TOTAL DUE 3.31CR
* 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.
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