HomeMy WebLinkAbout03-13-09 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
EDWARD M BURTSAVAGE
327 SOMERSET DR
SHIREMANSTOWN PA 17011-6539
I
REV-1548 EX AFP CO1-09)
DATE 03-16-2009
ESTATE OF BURTSAVAGE HELEN M
DATE OF DEATH 11-01-2008
FILE NUMBER 21 08-1265
COUNTY CUMBERLAND
SSN/DC 168-18-.3207
ACN 08155451
APPEAL DATE: 05-15-2009
(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 ~
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 ASSETSC~-J ~
DATE =='~5-16-2~9 -r- (~'
ESTATE OF BURTSAVAGE HELEN M DATE OF DEATH 11-01-2008 COU:iiT~~ ' CUM~RL~piD~.J
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FILE N0. 21 08-1265 S.S/D.C. N0. 168-18-3207 %~~ M8155~.}
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED O '
M `.: :~
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU ACCOUNT N0. 0168183207-C54
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST 4()TIME CERTIFICATE
DATE ESTABLISHED 06-13-1998
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
36,841.06
~ 0.500
18,420.53
.00
18,420.53
X .45
__ 828.92
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."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
01-29-2009 CD010829 41.45 787.47
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDI
( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DU
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
TOTAL TAX CREDIT 828.92
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
TIONAL INTEREST.
E A REFUND.