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HomeMy WebLinkAbout02-03-12BUREAU OF INDIVIDUAL TAXES ~irI}C~F, H NCE TAX INHERITANCE TAX DIVISION APPR ~E~1ENTr AL~~~~CF~OR DISALLOWANCE PO BOX 280601 OF D~~IS~;UO~~,'~gLND~,~~~SPcSSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR RUST ASSETS Pennsylvania `~~. DEPARTMENT OF REVENUE REV-1548 IX AFP (12-11) ~~#~ ~~~ ^~ PM 3~~TE OF KEISER2012 LEONARD DATE OF DEATH 10-21-2011 CLERK OF FILE NUMBER 21 11-1271 ~P~N,S C~~RrSSNNDC 142B20L0805 THOMAS L KEISER ~~~~~'' ~~ f'~~~ ~!~, AACN 11173408 109 SALASIN DR APPEAL BY DATE:04-06-2012 AVONDALE PA 19311- 9799 (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: 02-06-2012 ESTATE OF:KEISER LEONARD DATE OF DEATH:10-21-2011 COUNTY:CUMBERLAND FILE NO.: 21 11-1271 S~• TAX RETURN WAS: (X) FINANCIAL INSTITUTION: MEMBERS TYPE OF ACCOUNT: C )SAVINGS DATE ESTABLISHED 11-03-1984 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: i/D.C. NO.: 142-20-0805 ACN: 11173408 ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION 1ST FCU ACCOUNT NO.: 28204-11 (~ CHECKING ( )TRUST C )TIME CERTIFICATE 1,536.85 X 0.500 768.43 - .00 768.43 y .045 34.58 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 C+) INTEREST/PEN PAID C-) AMOUNT PAID 11-23-2011 CD015264 1.73 34.58 TOTAL TAX PAYMENT 36.31 BALANCE OF TAX DUE 1.73CR INTEREST AND PEN. .DO TOTAL DUE 1.73CR * 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.