HomeMy WebLinkAbout11-29-10 (3)BUREAU OF INDIVIDUAL TAXES '^~~ - NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION faPP:I~AZ,S~MENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~ ._ ~. , ' _.I ; .9~ ~~~UCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
J E A N N E L E A B+~4Y2~ _•- ~-- .~ ._y , I`
417 CASCADE RD
MECHANICSBURG PA 17055-5520
pennsylvania \~
DEPARTMENT OF REVENUE ~ f°
REV-1548 EX AFP C12-09)
DATE 11-29-2010
ESTATE OF LEABHART DONALD K
DATE OF DEATH 02-24-2010_
FILE NUMBER l~-l ~ ~ (~)
COUNTY ~ ~BERLAND
SSN/DC 193-09-b185
ACN 10148221
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 E~-
REV-1548 EX AFP t12-09~--------------------------------------------------------------------
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 K DATE OF DEATH:02-24-2010
COUNTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: 193-09-6185 ACN: 10148221
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.: 0575541149
TYPE DF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST ( ~ TIME CERTIFICATE
DATE ESTABLISHED 09-26-2007
Account Balance 10,859.68 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 5,429.84 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 5,429.84 REGISTER OF WILLS AT THE
Tax Rate x •00 ABOVE ADDRESS. MAKE CHECK
Tax Due .00 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
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 INSTRUCTIONS.
~~~