HomeMy WebLinkAbout03-06-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~'~,~~ ~ "` f`1 ~`;~~~GE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES •"~ A~P'' S ENt, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION R'A~I
PO BOX 280601 ,7~.~jO~i D~DCI~"CtONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 - JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP CO1-09)
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210 COLONIAL DR
SHIPPENSBURG PA 17257
DATE 03-09-2009
ESTATE OF JACKA CARL G
DATE OF DEATH 11-03-2008
FILE NUMBER 21 09-0016
COUNTY CUMBERLAND
SSN/DC 293-26-7887
ACN 08160894
APPEAL DATE: 05-08-2009
(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 CO1-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 03-09-2009
ESTATE OF JACKA CARL G DATE OF DEATH 11-03-2008 COUNTY CUMBERLAND
FILE N0. 21 09-0016 S.S/D.C. N0. 293-26-7887
ACN 08160894
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: CMMNTY STATE BANK OF ORBISONIA ACCOUNT N0. 1408483
TYPE OF ACCOUNT: ( )SAVINGS 4() CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 07-31-1998
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
696.60 NOTE:
X 0.500
348.30
.00
348.30
X .45
15.67
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
01-05-2009 CD010743 .78 15.67
TOTAL TAX CREDIT 16.45
BALANCE OF TAX DUE .78CR
INTEREST AND PEN. .00
TOTAL DUE .78CR
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
('IF TOTAL DUE IS LESS THAN 61, 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. )