HomeMy WebLinkAbout11-29-10 (2) W; ,. ~_,, ;r.. _ Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES N T.IO~' ~F INHERITANCE TAX
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DEPARTMENT OF REVENUE
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INHERITANCE TAX DIVISION ~-~ ARI~RALS~MENT; ALLOWANCE OR DISALLOWANCE
PO BOX 280601 0~~ D~IfUCTTONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-09)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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WILLIAM M SHEPPARD ~~
3537 MARCH DR
CAMP HILL PA 17011-5011
ESTATE OF SHEPPARD DORIS J
DATE OF DEATH 10-22-2010
FILE NUMBER c~-1" 1C ' t 1-~ ,`)
COUNTY CUMBERLAND
SSN/DC 19b-14-3380
ACN 10164585
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
CUT ALONG THIS LINE ""'> RETAIN LOWER PORTION FOR YDUR RECORDS ~
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REV-1548 EX AFP C12-09)
NDTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX DN JOINTLY HELD OR TRUST ASSETS
DATE: 11-29-2010
ESTATE OF:SHEPPARD DORIS J DATE OF DEATH:10-22-2010
FILE NO.:
S,S/D.C. NO.: 196-14-3380
ACN: 10164585
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
FINANCIAL INSTITUTION: PSECU
JOINT OR TRUST ASSET INFORMATION
ACCOUNT NO.:
COUNTY:CUMBERLAND
0196143380-52
TYPE OF ACCOUNT: CX)SAVINGS ( ) CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 08-04-1992
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
800.58
X 0.166
133.43
- .00
133.43
Y .00
.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 (+)
INTEREST/PEN PAID C-) 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 INSTRUCTIONS.