HomeMy WebLinkAbout03-13-09 (11)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX ~ ~
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS REY-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
EDWARD M BURTSAVAGE JR ACN 09103194
327 SOMERSET DR APPEAL DATE: 05-15-2009
SH I REMANSTOWN PA 17011 (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 ASSETS
DATE 03-16-2009
ESTATE OF BURTSAVAGE
FILE N0. 21 08-1265
HELEN M DATE OF DEATH 11-01-2008
S.S/D.C. N0. 168-18-3207
COUNTY CUMBERLAND
ACN 09103194
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED C7 ~
JOINT OR TRUST ASSET INFORMATION ,~T3~ `° _ -:1;7
FINANCIAL INSTITUTION: M 8~ T BANK
TYPE OF ACCOUNT: C )SAVINGS 4() CHECKING C )TRUST
DATE ESTABLISHED 03-28-1974
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
2,333.48
X 0.500
1,166.74
.00
1,166.74
X .45
52.50
TAX CREDITS:
T7 ~C ~ 7 r r~
-i: C7 ~° ~ -'-1
ACCOUNT N0. 1878$ =~ ~'-` -
c:. _.1-3
~:Vj^ ~ ~?
C )TIME CERTIFICi4T ~~~ ~'--~
,,. ~ ~) .-,~ ~ t - ~
r _._ ~ `s
NOTE: TO INSURE PROPER ~EDIY~70
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 CD010830 2.63 49.88
~ u ~ wL 1 wlC GKEUl (-
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REpUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
52.51
.O1CR
.00
.O1CR