HomeMy WebLinkAbout07-22-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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PO BOX 280601 .. "' ~
HARRISBURG PA 171Z8-0~~' ::: I
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLONANCE
OF DEDUCTIONS, AND ASSESSHENT OF TAX DN
~OINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
DATE 07-25-2005
ESTATE OF AUGUSTYN TEDDY
DATE OF DEATH 03-18-2005
FILE NUMBER 21 05-0596
COUNTY CUMBERLAND
SSN/DC 129-07-7909
ACN 05128243
APPEAL DATE: 09-23-2005
(See reverse side under Objections)
Amaunt Remitted I I.
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
ZDD5 JUL 22 Pll 2: 09
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MICHAEL~,:;.Jl'J.AttEI(. ..
219 WoOD';ST
CAMP HILL PA 17011
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS -
REY=is4S-EX-AFP-lo3=osi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 07-25-2005
ESTATE OF AUGUSTYN
TEDDY
DATE OF DEATH 03-18-2005
COUNTY
CUMBERLAND
FILE NO. 21 05-0596
TAX RETURN WAS:
S.S/D.C. NO. 129-07-7909
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05128243
FINANCIAL INSTITUTION: SUSQUEHANNA BANK PA
ACCOUNT NO.
1046504906
TYPE OF ACCOUNT: ()SAVINGS ex) CHECKING (HRUST (HIME CERTIFICATE
DATE ESTABLISHED 07-13-1998
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
17 ,822.33
0.166
2,970.45
.00
2,970.45
.15
445.57
NOTE: TO INSURE 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
DR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CRED:l:TS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
PAYMENT MUST BE MADE BY 12-19-2005~. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 445.57
INTEREST AND PEN. .00
TOTAL DUE 445.57
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REqUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDlr' ( CRJ, YDU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FDRH FDR INSTRUCTIONS. J
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