HomeMy WebLinkAbout05-15-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES _ NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION _ ~ - APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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NANCY JONES
CO KATHLEEN PALUBINSKY
225 NORTH MAIN STREET
SHENANDOAH PA 17976
REV-1548 EX AFP (01-09)
DATE 05-18-2009
ESTATE OF ROZENBURCH EUGENE
DATE OF DEATH 04-16-2008
FILE NUMBER 21 08-0559
COUNTY CUMBERLAND
SSN/DC 077-26-4473
ACN 09004798
APPEAL DATE: 07-17-2009
(See reverse side render Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CiD COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS H
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 05-18-2009
ESTATE OF ROZENBURCH EUGENE DATE OF DEATH 04-16-2008 COUNTY CUMBERLAND
FILE N0. 21 08-0559 S.S/D.C. N0. 077-26-4473 ACN 09004798
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: 632 S SOUTH ST MAHANO CITY ACCOUNT N0. ROWHOME
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 01-14-1992
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
4,500.00 NOTE:
X 0.500
2,250.00
395.00
1,855.00
X .15
278.25
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 C-) AMOUNT PAID
02-18-2009 S0003515 1.26- 280.38
TOTAL TAX CREDIT 279.12
BALANCE OF TAX DUE .87CR
INTEREST AND PEN. .00
TOTAL DUE: .87CR r•~
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. +
( 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. iJ
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )