HomeMy WebLinkAbout03-06-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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BUREAU OF INDIVIDUAL TAXES t• , ~ i~~tCi i j~i'f I Np~ICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION AP~I~A~ EMENT, ALLOWANCE OR DISALLOWANCE
PO Box 288601 ,--~ ^~,~~ Erj",O,FjD~p~~tIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
2009 ~lAI~ -6 PM 12= 52
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TOM MITCH~~1y~`, ~~:~ ''',f[;) '~~., PA
1363 HOUCK ROAD
INDIANA PA 15701
DATE 03-09-2009
ESTATE OF MITCHELL MICHAEL P
DATE OF DEATH 12-22-2008
FILE NUMBER 21 09-0092
COUNTY CUMBERLAND
SSN/DC 207-30-4321
ACN 09102755
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 H
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 03-09-2009
ESTATE OF MITCHELL MICHAEL P DATE OF DEATH 12-22-2008 COUNTY CUMBERLAND
FILE N0. 21 09-0092 S.S/D.C. N0. 207-30-4321 ACN 09102755
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 55321-00
TYPE OF ACCOUNT: 4C )SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 05-31-1977
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
9,049.66 NOTE:
X 0.500
4,524.83
.00
4,524.83
X .12
542.98
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
01-27-2009 CD010831 27.15 515.83
TOTAL TAX CREDIT 542.98
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 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. )
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