HomeMy WebLinkAbout02-27-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE'OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES BppRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION
PO Box 2Ba681 O~"DEIIUCT'~ONS~; 'AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (01-09)
~~~g FMS ~~ ~ ~ ~ ~ 20 DATE 03-02-2009
ESTATE OF BLACK DEBORAH A
DATE OF DEATH 09-14-2008
C~~~~ ~~ FILE NUMBER 21 09-0086
QRPNp:l~1 S CJ~JRT COUNTY CUMBERLAND
~ z7~'~I ,~;?,~ (J(vt., ~, SSN/DC 163-44-0418
BETTY M SIPE C~~''''" ' ~ ACN 08160342
16 W MAIN ST APPEAL DATE: 05-01-2009
NEWBURG PA 17240 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TD:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1548 EX AFP (01-09)------------------------------------------~------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 03-02-2009
ESTATE OF BLACK DEBORAH A DATE OF DEATH 09-14-2008 COUNTY CUMBERLAND
FILE N0. 21 09-0086 S.S/D.C. N0. 163-44-0418
ACN 08160342
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT N0. 450181
TYPE OF ACCOUNT: 4()SAVINGS C ) CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 12-01-2000
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
564.00
X 0.500
282.00
.00
282.00
X .45
12.69
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."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
PAYMENT MUST BE MADE BY 06-15-2009*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 12.69
INTEREST AND PEN. .00
TOTAL DUE 12.69
^ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
( IF TOTAL DUE IS LESS THAN 41, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR)r YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )