HomeMy WebLinkAbout04-03-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'~'~~ NM$T~~~~'~~,(IPIFJERITANCE TAX
BUREAU OF INDIVIDUAL TAXES 'i',•~ ~
INHERITANCE TAX DIVISION A~P~S6NF~ ~iL;L~Q4h4NCE OR DISALLOWANCE
PO BOX 280601 OFf"!IIl~~,f(JjCT.XIIN1$t, ANlD-ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS REY-1548 EX AFP CO1-09)
t~Q9 tf?~ ..3 ~M =~j ~~1TE 03-30-2009
A ESTATE OF THOMAS ALICE H
DATE OF DEATH 07-25-2008
`~~~(~ FILE NUMBER 21 09-0038
np~„tA1~t~(J+ ~~'~' COUNTY CUMBERLAND
GAIL L HOLLENBACH Vv~Y~~~~ ~~, PAACN/DC 08144039566
516 N 3RD ST APPEAL DATE: 05-29-2009
S U N B U R Y P A 17 8 01 (See reverse side under Objections)
Amount Remftted~
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 (01-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 03-30-2009
ESTATE OF THOMAS ALICE H DATE OF DEATH 07-25-2008 COUNTY CUMBERLAND
FILE N0. 21 09-0038 S.S/D.C. N0. 200-24-7566 ACN 08144039
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SUSQUEHANNA BANK ACCOUNT N0. 29449706
TYPE OF ACCOUNT: ( )SAVINGS 4C) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 06-01-1999
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
1,514.29
)( 0.500
757.15
4,743.60
.00
X .45
.00
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."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX CREDIT .00
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 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. )