HomeMy WebLinkAbout04-24-09 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ' ', ~ ',~ ' 'H~'C•Iti~ `a~ INHERITANCE TAX
INHERITANCE TAX DIVISION ~~ APP~gISFN,ENT %~LLOWANCE OR DISALLOWANCE
PD BOX 280601 ,~:, OF~,Uf~UCT'I~7NS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
~~~9 ~~~'R 2~ PPi 12~ I ~
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SAMANTHA M WRIGHT ~1!j, , , , "'~~'~. '~'/-~
460 WHISKEY RUN RD
NEWVILLE PA 17241
REV-1546 EX AFP CO1-D9)
DATE 04-27-2009
ESTATE OF JOHNSON EMORY G
DATE OF DEATH 11-17-2008
FILE NUMBER 21 09-0287
COUNTY CUMBERLAND
SSN/DC 210-18-9583
ACN 09107740
APPEAL DATE: 06-26-2009
(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 CO1-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 04-27-2009
ESTATE OF JOHNSON EMORY G DATE OF DEATH 11-17-2008
FILE N0. 21 09-0287 S.S/D.C. N0. 210-18-9583
COUNTY CUMBERLAND
ACN 09107740
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ADAMS COUNTY NATIONAL BANK ACCOUNT N0. 9621059
TYPE OF ACCOUNT: 4()SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 12-23-1993
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
739.55
X 0.500
369.78
.00
369.78
X .45
16.64
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."
P DATE T I NUMBER (INTEREST/PENT PAID (-)I AMOUNT PAID
PAYMENT MUST BE MADE BY 08-18-2009*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 16.64
INTEREST AND PEN. .00
TOTAL DUE 16.64 1
* IF PAID AFTE
R THIS DATE,
SEE REVERSE FOR CALCULATION OF
ADDITIONAL INTEREST. ,
( 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.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )