HomeMy WebLinkAbout05-15-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES AppRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~. _
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-06 01 JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP CO1-09)
r ~, , . ,i ,, ~. ~ , DATE 05-18-2009
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ANGELA vJOHNSON
17 LARCH DR
SHIPPENSBURG PA 17257
ESTATE OF JOHNSON EMORY G
DATE OF DEATH 11-17-2008
FILE NUMBER 21 09-0287
COUNTY CUMBERLAND
SSN/DC 21[I-18-9583
ACN 09].07741
APPEAL DATE: 07-17-2009
(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 F~
REV-1548 EX AFP (01-09)----------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIDNS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 05-18-2009
ESTATE OF JOHNSON EMORY G DATE OF DEATH 11-17-2008 COUNTY CUMBERLAND
FILE N0. 21 09-0287 S.S/D.C. N0. 210-18-9583
ACN 09107741
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ADAMS COUNTY NATIONAL BANK ACCOUNT N0. 9651446
TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING 4[)TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 10-17-1986
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
380.66
X 1.000
380.66
.00
380.66
X .45
17.13
NOTE: TO :INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPI.R PORTION OF THIS NOTICE
WITIi YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR INONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
04-06-2009 CD011077 .00 17.13
IUTAL IAA I.R CLlI
BALANCE OF TAX DUE
INTEREST AN1) PEN.
TOTAL DIJE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REpUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
17.13
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