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HomeMy WebLinkAbout07-05-11~.,,,~r~~,; #-,^ ,..., Pennsylvania ~ BUREAU OF INDIVIDUAL TAXES ~~~`'~~"'?~'°' `~` ~~~~~tICE OF INHERITANCE TAX DEPARTMENT OF REVENUE `~~(:`''I~'"`~ ^ R~~j E~MENT, ALLOWANCE OR DISALLOWANCE REV-1548 EX AFP (12-10) r INHERITANCE TAX DIVISION ~,,r PO BoX 280601 ~ "'`"" ``-' ~ b~P D~DIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS .~~L ,.. ,# DATE CLERK Q~ QRPHAi~`~ COURT WILLIAM M SHEP~~AR~~~~T~1~~"a ~~- PA, 320 SHERMAN AVE CARLISLE PA 17013 ESTATE OF DATE OF DEATH FILE NUMBER 07-04-2011 SHEPPARD DORIS J 10-22-2010 COUNTY CUMBERLAND SSN/DC 196-14-3380 ACN 10164584 APPEAL BY DATE:09-02-2011 (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: 07-04-2011 ESTATE OF:SHEPPARD DORIS FILE NO.: COUNTY:CUMBERLAND ACN: 10164584 TAX RETURN WAS: tX) ACCEPTED AS FILED C ) CHANGED FINANCIAL INSTITUTION: PSECU TYPE OF ACCOUNT: C ~ SAVINGS DATE ESTABLISHED 07-15-1976 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due Tex rRFnrTC. J DATE OF DEATH:10-22-2010 S.S/D.C. NO.: 196-14-3380 JOINT OR TRUST ASSET INFORMATION ACCOUNT NO.: 0196143380-S1 C ) CHECKING C )TRUST C )TIME CERTIFICATE 14,915.94 NOTE: X 0.166 2,486.04 - .00 2,486.04 x .045 111.87 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 (+) INTEREST/PEN PAID C-) AMOUNT PAID PAYMENT MUST BE MADE BY 07-23-2011. TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 111.87 INTEREST AND PEN. .00 TOTAL DUE 111.87 ~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIDNAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.