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HomeMy WebLinkAbout07-15-11~~ BUREAU OF INDIVIDUAL TAX~S~ ~ ` ' ~ .~` ~~'LL" ""- INHERITANCE TAX pIVISION l ~1._ ~1~NOTICE OF INHERITANCE TAX PO BOX 280601 ~, ~ _ A~~~~~SEMENT, ALLOWANCE OR DISALLOWApJCE HARRISBURG PA 17].28-0601 A ' 0~ -I}kJ~IUCTIONS, qND ASSESSMENT OF TAX ON .~; JOINTLY HELD OR TRUST ASSETS -~ ii ' ~f ~ 1 (` pennsywania ~ , DEPARTMENT OF REVENUE REV-1548 EX AFP (12-10) '•~ ~. • l: =~ DATE 07-12-2011 ESTATE OF SEITZ (,[ ~(~r~,, f-,~ DATE OF DEATH 02-28-2010 ENID M OF{t-?-'~Ab n FILE NUMBER ~`~'~~"~" Wit,=~~~T COUNTY 21 10-0394 VALDA C DOW~N$°~''~~' ~~~~~~I' ~[i p,~ SSN/DC CUMBERLAND 703 W PINE ST ACN 176-14-3946 MT HOLLY SPRINGS PA 17065 10144970 APPEAL BY DATE:09-10-2011 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE Si~UARE CARLISLE PA :L 7013 CUT ALONG THIS LINE _ "~ RETAIN LOWER PORTION FOR YOUR RECORDS E~ REV-1548 EX AFP (12-10)------' ______________ ________ DEDUCTIONSINANDIASSESSMENTAOFRTAXEONNJOI ALLOWANCE OR DISALLOWANCE OF NTLY HELD OR TRUST ASSETS ESTATE OF:SEITZ DATE: 07-12-2011 ENID M DATE OF DEATH:02-2_ FILE NO.: COUNTY:CUMBE_ R~gND 21 10-0394 S.S/D.C. NO.: 176-14-3946 TAX RETURN WAS: CX) ACCEPTED AS FILED ACN: 10144970 ~ ) CHANGED FINANCIAL INSTITUTION: SOVEREIGN BA KT OR TRUST ASSET INFORMATIOIrI TYPE OF ACCOUNT; C )SAVINGS ( ) CHECKING ( )TRUST AC)U T ME NO.; DATE ESTABLISHED 11-14-2000 3385024124 CEiRTIFICATE Account Balance Percent Taxable 3,000.00 NOTE: X 0.500 TO ENSURE PROPER CREDIT TO Amount Subject to Tax Debts and Deductions - 1,500.00 YOUF' ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE Taxable Amount '00 WITH YOUR TAX PAYMENT TO THE Tax Rate 1,500.00 Y 15 REGISTER OF WILLS AT THE Tax Due ABOVE ADDRESS. 225.00 MAKE CHECK TAX CREDITS: OR MiDNEY ORDER PAYABLE T0: "REG.STER OF WILLS, AGENT. ~~ PAYMENT RECEIPT DATE NUMBER INTEREST/PENTPAID (-) AMOUNT PgID INTEREST IS CHARGED THROUGH 07-20-2011 AT THE RATES APPLICABLE AS OUTLINED ON THE TOTAL TAX PAYMENT REVERSE SIDE OF THIS FORM .00 BALANCE OF TAX DUE INTEREST AND PEN, 225.00 TOTAL DUE 4.53 229.53 * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~r IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.