HomeMy WebLinkAbout04-03-09 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~` °( ~,~;} ~i ~.~'06 Of' INHERITANCE TAX
BNHERI ANCE TAXDO VISI NL TAXES - ~P~~~TS M NT! ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ''~'~~ E~b~TtlgN~`,f.AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY'~FfELD OR TRUST ASSETS
2Q09 APR -3 AM i I ~ 19
CLERK OF
((''yyO~~R,~~}PHAN'S COURT
ALFRED T KEEBAUGH"'~J1~~~JD (,~„ ~~
202 E JULIAN ST
MARTINSBURG PA 16662
REV-1548 EX AFP CO1-09)
DATE 04-06-2009
ESTATE OF KEEBAUGH TIMOTHY M
DATE OF DEATH 03-12-2008
FILE NUMBER 21 08-0523
COUNTY CUMBERLAND
SSN/DC 184-50-5335
ACN 08119007
APPEAL DATE: 06-05-2009
(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 ~
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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 04-06-2009
ESTATE OF KEEBAUGH TIMOTHY M DATE OF DEATH 03-12-2008 COUNTY CUMBERLAND
FILE N0. 21 08-0523 S.S/D.C. N0. 184-50-5335
ACN 08119007
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: FIRST NATIONAL BANK ACCOUNT N0. 000-0608833
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING 4()TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 04-27-2000
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
20,033.63 NOTE:
X 0.250
5,008.41
.00
5,008.41
X .45
225.38
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
INTEREST IS CHARGED THROUGH 04-14-2009 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 225.38
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 4.03
TOTAL DUE 229.41
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
C IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )