HomeMy WebLinkAbout11-07-08 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ,~ -'~~~I~~~L~~~10~ INHERITANCE TAX
INHERITANCE TAX DIVISIDN X(P~PRA~SEM6N,Tr.AL,L9WANCE OR DISALLOWANCE
PD BOX 280601 p~F'~~~'l~T~.pNS},:'.A~1D ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP cob-05)
Z~~iB ~(~~ -7 ~~ ~~; 35DATE 11-10-2008
ESTATE OF MORTIMORE ELIZABETH C
DATE OF DEATH 02-24-2D08
~~~~ C~ FILE NUMBER 21 08-0537
QRPHAN~S UOURT COUNTY CUMBERLAND
GLENN E MORTIMORE ~~~~r^-Jh~~~ C'~.. PA ACN/DC 08004585439
HAZEN ELDER LAW STE 202 APPEAL DATE: 01-09-2009
2000 LINGLESTOWN RD (See reverse sideienderObjections)
HBG PA 17110 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~"~ 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 TRUST ASSETS
DATE 11-10-2008
ESTATE OF MORTIMORE ELIZABETH C DATE OF DEATH 02-24-2008 COUNTY CUMBERLAND
FILE N0. 21 08-0537 S.S/D.C. N0. 540-30-2439 ACN 08004585
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC SANK ACCOUNT N0. 5002354366
TYPE OF ACCOUNT: 6OSAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 05-13-1985
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
4,824.05 NOTE:
X 0.166
804.02
.00
804.02
X .00
.00
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 C-) AMOUNT PAID
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
C IF TOTAL DUE IS LESS THAN SI, NO PAYMENT IS REQUIRED.
-- ----• *+~~~ rc octiFCTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFUND.
Q