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HomeMy WebLinkAbout11-29-10BUREAU OF INDIVIDUAL TAXES ~ ~ ', --:- ,-_,__ ~y,,pT~~E OF INHERITANCE TAX INHERITANCE TAX DIVISION ~ ' ~ -A~PPRgI~~S,~1~~1T, ALLOWANCE OR DISALLOWANCE PO BOX 280601 ~ (_3F.' DEDUCThONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 ~ ~- ~ ~ -__ ~ ~ ~JO-TNYLY HELD OR TRUST ASSETS ~; ~ ~'~J`~' 29 F~~~ 2~ ~ ~.,,_ ~.f-~r, WILLIAM M SHEPP~tt~~r:t~' ~~ 3~r~ ~-- 3537 MARCH DR CAMP HILL PA 17011-5011 Pennsylvania DEPARTMENT OF REVENUE REV-154,8 EX AFP (12-09) ~~ DATE 11-29-2010 ESTATE OF SHEPPARD DORIS J DATE OF DEATH 10-22-2010 FILE NUMBER .~ `~ - ~~~~~ COUNTY C MBERLAND SSN/DC 196-14-3380 ACN 10164583 APPEAL BY DATE:O1-2$-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 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:SHEPPARD FILE NO.: S.S/D.C. NO.: 196-14-3380 ACN: 10164583 TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED FINANCIAL INSTITUTION: PSECU TYPE OF ACCOUNT: CX)SAVINGS DATE ESTABLISHED 07-15-1976 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due T.AX CREDITS: JOINT OR TRUST ASSET INFORMATION ACCOUNT NO.: 019b1433$0-S1 C ) CHECKING ( )TRUST C )TIME CERTIFICATE 14,915.94 NOTE: X 0.166 2,486.04 - .00 2,486.04 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 DORIS J DATE OF DEATH:10-22-2010 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. ~~