HomeMy WebLinkAbout05-16-08 OMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUI4C'~'ADCES"j"'~ ~~ NOTICE DF INHERITANCE TAX
INHERITANCE TAX DIVISION '-' '•- ~ --'~• '. APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 -' OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 _.. , _ -- JOINTLY HELD OR TRUST ASSETS
2~~G ~A1~ 15 P!~ 4~ i 4
CLE(~K 0;=
CLAYTON NE`" ~ M
3402 WAY D`
CHAMBERSBURG PA 17202
REY-1548 EX AFP C06-05)
DATE 05-19-2008
ESTATE OF JOHNSTON DOROTHY M
DATE OF DEATH 10-08-2007
FILE NUMBER 21 08-0055
COUNTY CUMBERLAND
SSN/DC 186-05-1499
ACN 07151001
APPEAL DATE: 07-18-2008
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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REV-1548 EX AFP (03-05)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 05-19-2008
ESTATE OF JOHNSTON DOROTHY M DATE OF DEATH 10-08-2007
FILE N0. 21 08-0055 S.S/D.C. N0. 186-05-1499
COUNTY CUMBERLAND
ACN 07151001
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK
ACCOUNT N0. 103001753
TYPE OF ACCOUNT: C )SAVINGS 6() CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 01-10-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
1,137.23
X 0.500
568.62
425.52
143.10
X .45
6.44
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
OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
01-15-2008 CD009182 .00 6.44
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
C IF TOTAL DUE IS LESS THAN B1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
6.44
.00
.00
.00