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HomeMy WebLinkAbout11-29-10 (2)BUREAU OF INDIVIDUAL TAXES t'C~,"~ ""` '~ -NQ~-IC~r.OF INHERITANCE TAX INHERITANCE TAX DIVISION -' ~ 'A~RkA.L$EM~NT~.~" ALLOWANCE OR DISALLOWANCE PO BOX 280601 ,_t ._. ~ 'dF`..DEDUC°fIQht~, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 ' ''" i `"' '" `''JOI'NT'LY HELD OR TRUST ASSETS 2~~~ ~~~ ~~ ~~~ ~~ '~+J 1.1t i~tl~'F~~• `~' rt. .~~ `. 'n JEANNE LEABHAR ''~.''~ `'' -':"a 417 CASCADE RD MECHANICSBURG PA 17055-5520 Pennsylvania ~ DEPARTMENT OF REVENUE z REV-1548 IX AFP (12-09) DATE 11-29-2010 ESTATE OF LEABHART DONALD K DATE OF DEATH 02-24-2010 FILE NUMBER ,~~ - ~~;" ~il~L{~ COUNTY CUMBERLAND SSN/DC 193-09-6185 ACN 10148220 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 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:LEABHART DONALD FILE NO.: S.S/D.C. NO.: 193-09-6185 COUNTY:CUMBERLAND ACN: 10148220 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.: 0574177868 TYPE OF ACCOUNT: C ~ SAVINGS C ) CHECKING t )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 11-13-2008 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAV f DCTITTC. 10,149.53 NOTE: X 0.500 5,074.77 - .00 5,074.77 ~ .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 C+) INTEREST/PEN PAID (-) AMOUNT PAID K DATE OF DEATH:02-24-2010 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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.