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HomeMy WebLinkAbout12-17-08COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF QEDUCTIONS,:AND ASSESSMENT OF TAX ON ` REV-1548 EX AFP C06-05) HARRISBURG PA 17128-0601 JOINTLY HELD CORp~TRUST ASSETS ?''~~ ~~ ~°' ~ ~ ~~ ~~' J,ESTATE OF KCtONS-2008 DENNIS R DATE OF DEATH O:i-29-2008 ~,.~ ; 7•- FILE NUMBER 2l. 08-0959 G~`~`'~'~ 'J' COUNTY CUMBERLAND D~~F~~'~ ' ~~ -~~~~~~ SSN/DC 191-42-8092 ROBERT H KOONS (;!,f`~q`;~' ''~ r^ _ ph ACN OEt140182 464 N CROSSROADS APPEAL DATE: 02-13-2009 ELIZABETHVILLE PA 17023 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, Pt1 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 12-15-2008 ESTATE OF KOONS FILE N0. 21 08-0959 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MID PENN BANK ACCOUNT N0. 310705408 DENNIS R DATE OF DEATH 03-29-2008 COUNTY CUMBERLAND S.S/D.C. N0. 191-42-8092 ACN 08140182 TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING ( )TRUST 6OTIME CERTIFICATE DATE ESTABLISHED 07-07-2000 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due 913.68 X 0.500 456.84 .00 456.84 X .15 68.53 NOTE: TO INSURE PROPER CREDIT TO YOI.IR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABCIVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE T0: "RE:GISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 09-08-2008 CD010308 .00 68.53 TOTAL TAX CREDIT 68.53 BALANCE OF 'SAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.. * f, C IF TOTAL DUE IS LESS THAN 51, 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. )