HomeMy WebLinkAbout11-08-10~''~"j~7[~~~rr' '`'r"T~'f7TI $'; OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~ '' ~"""~ ~' ~ t
INHERITANCE TAX DIVISION ApPRAISE~~N~'~' ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~ ~,~, '~;p~~ jD~~U~fi~IbN~, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOIN7~LY HELD OR TRUST ASSETS
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JOHN R DIEHL ~~~~~ ,'~~`~~~C ~~~' , Ply.
306 ZION ROAD
MT HOLLY SPRINGS PA 17065
pennsylvania' ` ~ ~:
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-09)
DATE 11-08-2010
ESTATE OF DIEHL ELSIE S
DATE OF DEATH 04-27-2010
FILE NUMBER ~-~,~ ~ - ~ (~~ ~ ~ `'>C~
COUNTY CUMBERLAND
SSN/DC 175-40-3309
ACN 10047822
APPEAL BY DATE:O1-07-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALDNG THIS LINE ~"'~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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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: 11-08-2010
ESTATE OF:DIEHL
ELSIE
FILE NO.:
S.S/D.C. NO.: 175-40-3309
ACN: 10047822
TAX RETURN WAS: CX) ACCEPTED AS FILED C ? CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ADAMS COUNTY NATIONAL BANK ACCOUNT NO.:
1962655
TYPE OF ACCOUNT: C SAVINGS CX} CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 09-25-2001
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX f'RFTITTS:
3,296.25
X 0.500
1,648.13
- 3,095.84
.00
X .045
.00
NOTE: 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 (-)
AMOUNT PAID
TOTAL TAX PAYMENT .00
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 TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIDNS.
S DATE OF DEATH:04-27-2010
COUNTY:CUMBERLAND
~~~