HomeMy WebLinkAbout11-05-08 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
T' , ~ - ' t-IVO~T~~€ 0~ INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION ^'.'A~,PRAISEMQAJT ,.;ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ""''01= ITEDQ'CTI'OI~S, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-06 01 JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP C06-05)
~Q~B~~Y-~J A~~~'~~' DATE 11-03-2008
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MARK C BDRGER ~~"~~`~ °°'~~~~ ~`~~"
2254 CANTERBURY DR
MECHANICSBURG PA 17055-5770
ESTATE OF BDRGER CARL A
DATE OF DEATH OB-28-2007
FILE NUMBER 21 08-0021
COUNTY CUMBERLAND
SSN/DC 169-22-9082
ACN 07147697
APPEAL DATE: 01-02-2009
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, P,4 17013
CUT ALONG THIS LINE '~1 RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1548 EX AFP C03-05)-----------------------------------------~---------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUS1' ASSETS
DATE 11-03-2008
ESTATE OF BDRGER
FILE N0. 21 08-0021
CARL A DATE OF DEATH 08-28-2007
S.S/D.C. N0. 189-22-9082
COUNTY CUMBERLAND
ACN 07147697
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU ACCOUNT N0. 8201869347-B
TYPE OF ACCOUNT: C )SAVINGS 4() CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 02-24-2003
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
1,484.48
X 0.500
742.24
.00
742.24
X .45
33.40
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 (+)
INTEREST/PEN PAID (-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 11-11-2008 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 33.40
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1.07
TOTAL Dl1E 34.47
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
C IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )