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HomeMy WebLinkAbout02-07-11 (3)~~~~rk~~, f~E[=C~~~ ~ NOTICE OF INHERITANCE TAX pennsy van~a ~ BUREAU OF INDIVIDUAL TAB , ~ ~?~~1pP.'RAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION „ ~ ' PO BOX 280601 0~~~'11EDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-10) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS ,:. ~~ ~ 1 ~ +~~ -~ ~'~n~ ~ ~ ~,~ DATE 02-07-2011 ESTATE OF LEITZELL DENNIS J ~~~~~ ~~ DATE OF DEATH 10-19-2009 O~, ~~ FILE NUMBER ~~ ~ `` _ ~y A ~~~ v~J~T COUNTY CUMBE~LA~ ~i~~~"~~.~±~`~"~ n~.? ~~, SSN/DC 191-46-4540 JADETT T MEAS ACN 10114195 4002 ELMERTON AVE #3 APPEAL BY DATE:04-08-2011 HARRISBURG P A 1710 9 (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 X12-1Oj-------------------------------------------------------------------- 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 COUNTY:CUMBERLAND FILE NO.: S.S/D.C. NO.: 191-46-4540 ACN: 10114195 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: METRO BANK ACCOUNT NO.: 537020091 TYPE OF ACCOUNT: C )SAVINGS (X? CHECKING ( )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 05-16-2005 Account Balance 59.99 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 30.00 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 30.00 REGISTER OF WILLS AT THE Tax Rate x .15 ABOVE ADDRESS. MAKE CHECK Tax Due 4.50 OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID 01-31-2011 SBADJUST .00 4.59 TOTAL TAX PAYMENT 4.50 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.