HomeMy WebLinkAbout01-03-12BUREAU OF INDIVIDUAL TAXES"~j_ ~ ~• ,~{eTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APP'R~I ~1ENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 - DF b£DI~l~TIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ~ "'J61NTLY HELD OR TRUST ASSETS
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DOROTHY TEN•~Y~E'K ~~ ~~ f (;'`` ~~
1665 REVERE DR
MECHANICSBURG PA 17050-8359
Pennsylvania - . L
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-11)
DATE 01-03-2012
ESTATE OF TENEYCK THOMAS E
DATE OF DEATH 08-12-2010
FILE NUMBER 21 10-0925
COUNTY CUMBERLAND
SSN/DC 154-34-7099
ACN 11106764
APPEAL BY DATE:03-03-2012
(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 C12-11)--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 01-03-2012
ESTATE OF:TENEYCK THOMAS E DATE OF DEATH:08-12-2010
FILE NO.: 21 10-0925 S.S/D.C. NO.: 154-34-7099
COUNTY:CUMBERLAND
ACN: 11106764
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: CITIZENS BANK OF PENNSYLVANIA ACCOUNT NO.: 6100787001
TYPE OF ACCOUNT: ( )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 12-30-1983
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
11,302.44
X 0.500
5,651.22
- .00
5,651.22
x .15
847.68
NOTE: 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
1191 LRCJ I la t, 1"IA K~tu I FIKUUGti U 1 - 11 -2012
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 847.b8
INTEREST AND PEN. 16.96
TOTAL DUE 864.64
~ 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. Q