HomeMy WebLinkAbout04-03-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2806D1
HARRISBURG PA 17128-D601
DECIE M DORTY
5231 WINDSOR BLVD
MECHANICSBURG PA
t~Q~~.IO.EA ,l~~I.TANCE TAX
APPRNII;S,~M~, r.i C~ OR DISALLOWANCE
OF D6~k F.;I'O~VS A~ND~~+,/,fS~SESSMENT OF TAX ON
~JObIJ2+`L~ HL~LD ~fSR' ~•RUST ASSETS
REY-1546 EX AFP (D1-09)
DA 04-06-2009
Z~09 APR "~ AM I1~S~~E OF CLEVER LEROY
DATE OF DEATH 12-23-2008
FILE NUMBER 21 09-0202
CIERK(~ COUNTY CUMBERLAND
~'~ ~~SN/DC 188-10-0676
CUM~~~...A~1D ~ ~ APPEAL DATE910506305-2009
17 0 55 - 354 6 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
N
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 04-06-2009
ESTATE OF CLEVER LEROY N DATE OF DEATH 12-23-2008 COUNTY CUMBERLAND
FILE N0. 21 09-0202 S.S/D.C. N0. 188-10-0676 ACN 09105513
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT N0. 000005140239454
TYPE OF ACCOUNT: ( )SAVINGS Q() CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 07-30-2003
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
2,946.93 NOTE:
X 0.500
1,473.47
.00
1,473.47
X .15
221.02
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 (-) AMOUNT PAID
03-02-2009 CD010962 11.05 221.02
TOTAL TAX CREDIT 232.07
BALANCE OF TAX DUE 11.05CR
INTEREST AND PEN. .00
TOTAL DUE 11.05CR
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN 61, NO PAYMENT IS RE4UIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )