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HomeMy WebLinkAbout11-29-10~' ' ~ BUREAU OF INDIVIDUAL TAXES „` N0Tl~~C~'OF INHERITANCE TAX INHERITANCE TAX DIVISION Ah~I7AiYS~i'tENT; ALLOWANCE OR DISALLOWANCE PO BOX 280601 ~"~`" `0 ~`"19EDUCT'I'0NS', AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD DR TRUST ASSETS pennsylvan~a ~ DEPARTMENT OF REVENUE REV-1548 EX AFP (12-09) 4~f~~~~~~ ~9 ~~~ 7. ~.}~ DATE 11-29-2010 ALICE K STAUFFER 880 YVERDON DR CAMP HILL PA 17011-1851 ESTATE OF STAUFFER RAY DATE OF DEATH 03-23,-2010 _, FILE NUMBER ~~~~ •-I~ - ~l ~'~_ COUNTY CUMBERLANllll SSN/DC 178-16-4514 ACN 10155865 APPEAL BY DATE:O1-28-2011 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 F 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: 11-29-2010 ESTATE OF:STAUFFER RAY FILE NO.: S.S/D.C. NO.: 178-16-4514 ACN: 10155865 TAX RETURN WAS: CX1 ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: WACHOVIA BK NA ACCOUNT NO.: 1000663247610 TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C TRUST C )TIME CERTIFICATE DATE ESTABLISHED 01-02-1950 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAY f DGTITTC 7,163.07 NOTE: X 0.500 3,581.54 - .00 3,581.54 x .00 .00 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 (+) INTEREST/PEN PAID C-) AMOUNT PAID F DATE OF DEATH:03-23-2010 TOTAL TAX PAYMENT .00 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.