HomeMy WebLinkAbout02-07-11 (2)"1; `.<1"±'^~ ('4 (" ~ NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL T - t,~`J~~., '•,,,'~-~~f~'~
INHERITANCE TAX DIVISION .,,.. ,~ ~14PISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~~ 1'~ `_~IQ~~EDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ~ ! °~'`' '~ ` ``' "'4`•'~ JOINTLY HELD OR TRUST ASSETS
C~E~-~ Cf
ORPH~l~`S ~~~.~PT
JADETT T ~~~i_.~~~~' f..~~' . ~H,
4002 ELMERTON AVE #3
HARRISBURG PA 17109
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
DATE 02-07-2011
ESTATE OF LEITZELL DENNIS J
DATE OF DEATH 10-19-2009
FILE NUMBER ~ -~~~~~
COUNTY ~ MB RLA
SSN/DC 191-46-4540
ACN 10114194
APPEAL BY DATE:04-08-2011
(See reverse side under Objections)
Amount Rewitted
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: 02-07-2011
ESTATE OF:LEITZELL DENNIS J DATE OF DEATH:10-19-2009
FILE NO.:
S.S/D.C. NO.: 191-4b-4540
COUNTY:CUMBERLAND
ACN: 10114194
TAX RETURN WAS: CX) ACCEPTED AS FILED t ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: METRO BANK ACCOUNT NO.: 537020034
TYPE OF ACCOUNT: C )SAVINGS CX? CHECKING ( TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 05-09-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
375.07 NOTE:
X 0.500
187.54
- .00
187.54
Y .15
28.13
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 WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
llvltKt51 15 CHARGED THROUGH 02-15-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 28.13
INTEREST AND PEN. .62
TOTAL DUE 28.75
* 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.