HomeMy WebLinkAbout04-03-09 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~ '~'~~~~~ ~ j ~A~OT~l;'CE OF INHERITANCE TAX
.1_'~ ~'~
BUREAU OF INDIVIDUAL TAXES ~ PISA ~S~MBNT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION -e-('.'.'~,
PO BOX Z886o1 ' {° `" ~ ~ `-OF LDEDI~tl~T~NS, AND ASSESSMENT OF TAX ON
HARRISeuRC PA 1712E-a6o1 JOINTLY HELD OR TRUST ASSETS
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MECHANICSBURG PA 17055-3546
REV-1548 IX AFP COl-09)
DATE 04-06-2009
ESTATE OF CLEVER LEROY N
DATE OF DEATH 12-23-2008
FILE NUMBER 21 09-0202
COUNTY CUMBERLAND
SSN/DC 188-10-0676
ACN 09105512
APPEAL DATE: 06-05-2009
(See reverse side under Objections}
Aa~ount 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 ~
REY-1548 EX AFP CO1-09)
N07ICE 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. NO. 188-10-0676 ACN 09105512
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT N0. 000031100242265
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST 4()TIME CERTIFICATE
DATE ESTABLISHED D6-21-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
6,001.21
X 0.500
3,000.61
.00
3,000.61
X .15
450.09 _
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 TO:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
03-02-2009 CDOI0963 22.50 450.09
TUTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
C IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND,.
--••---~ ~rnc nc THIS FORM FOR INSTRUCTIONS. )
472.59
22.50CR
.00
22.50CR