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HomeMy WebLinkAbout12-17-10 (2)BUREAU OF INDIVIDUAL TAX~3- "~-` ~ `~`• ;"',{'`-~,"'~L'~ ,,NOTICE OF INHERITANCE TAX ~~~;C ~ p' i, % /~iP~~zA~'EMENT, ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIVISION ' PO BOX 280601 ~.'~~~ ~'~ ``; OFy~D~,DUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 ~ ` `-' ~+~-~ ! ~'~ ~ ~~~- ~~ -JOINTLY HELD OR TRUST ASSETS ~c~ aEC ~ ~ ~~ ~2: sz C~.ER~ a~ ORPHAPd~~ ~~URT ANNA C V '3 "3 _.~~ . ~~ . ~, C=~" PA~ 105 TORY CIR ENOLA PA 17025 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 EX AFP (12-10) r DATE 12-20-2010 ESTATE OF PRESTON JESSE E DATE OF DEATH 11-02-2009 FILE NUMBER 21 10-0651 COUNTY CUMBERLAND SSN/DC 188-12-3481 ACN 10102122 APPEAL BY DATE:02-18-2011 (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 C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 12-20-2010 ESTATE OF:PRESTON JESSE E DATE OF DEATH:11-02-2009 COUNTY:CUMBERLAND FILE NO.: 21 10-0651 S.S/D.C. NO.: 188-12-3481 ACN: 10102122 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.: 0921704925 TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 10-22-2007 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 11,725.01 NOTE: X 0.166 1,954.21 - .00 1,954.21 Y .15 293.13 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 WALLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMDUNT PAID INTEREST IS CHARGED THROUGH 12-28-2010 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 293.13 INTEREST AND PEN. 4.77 TOTAL DUE 297.90 ~ 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.