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HomeMy WebLinkAbout07-05-11 (3)~{~ ~,G..*s..,.. BUREAU OF INDIVIDUAL TA~C~--~'~ ~~f' `~~r~~ll~ INHERITANCE TAX DIVISION ~'' PO BOX 280601 ' +~-~• ~~%'+-~ ~~'+- t u1 .~ HARRISBURG PA 17128-0601 r NOTICE OF INHERITANCE TAX ISEMENT, ALLOWANCE OR DISALLOWANCE DUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS '~ ' Gl.ERK GiF (;~QRPHA~I'S _GGCIRT WILLIAM M S"P~~`~~~I ~f~.~., P, 320 SHERMAN AVE CARLISLE PA 17013 pennsylvania ~ DEPARTMENT OF REVENUE F i REV-1548 EX AFP C12-10) DATE 07-04-2011 ESTATE OF SHEPPARD DORIS DATE OF DEATH 10-22-2010 FILE NUMBER COUNTY CUMBERLAND SSN/DC 196-14-3380 ACN 10164588 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 J 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 COUNTY:CUMBERLAND FILE ND.: S.S/D.C. NO.: 196-14-3380 ACN: 10164588 TAX RETURN WAS: CX} ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PSECU ACCOUNT NO.: 0196143380-S4 TYPE OF ACCOUNT: C )SAVINGS C ~ CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 07-15-1976 Account Balance 1,113.4b NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 185.58 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 185.58 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due 8.35 OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." TAY f RFiITTC PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID PAYMENT MUST BE MADE BY 07-23-2011*. J DATE OF DEATH:10-22-2010 TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 8.35 INTEREST AND PEN. .00 TOTAL DUE 8.35 ~ 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.