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HomeMy WebLinkAbout01-03-12 (3)BUREAU OF INDIVIDUAL TAXES. `r (,It^~'~OTICE OF INHERITANCE TAX INHERITANCE 7AX DIVISION APF~7~~EMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 ,. OF", D UCTIONS, AND ASSESSMENT OF TAX DN HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS .. - .,1 i ~ E.. ~LER~ a.' DOROTHY T~ ,4~K ~- ,r; r,, ' `~~ 1665 REVERE DR MECHANICSBURG PA 17050-8359 Pennsylvania ~ ~ 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 11106766 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: 11106766 TAX RETURN WAS: fX) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: CITIZENS BANK OF PENNSYLVANIA ACCOUNT NO.: 6243930438 TYPE OF ACCOUNT: (X)SAVINGS ( ) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 08-30-2003 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 402.35 NOTE: X 0.500 201.18 - .00 201.18 x .15 30.18 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 C+) INTEREST/PEN PAID (-) AMOUNT PAID INTEREST IS CHARGED THROUGH 01-11-2012 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 30.18 INTEREST AND PEN. .60 TOTAL DUE 30.78 * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.