HomeMy WebLinkAbout05-15-09 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXE S
INHERITANCE TAX DIYISION
Po sox zao6ol
HARRISBURG PA 17128-D601
NOTICE OF INHERITANCE TAX
APRRAISEMENT, ALLOWANCE OR DISALLOWANCE
.OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
.~~., J r:~.; c ;: fyC.~
.._ ~i .. i~l ,.._ UL'
~; - -
' '~~.
-. -: ~ .
BETTE J Z~.d.O!K
24 GUNPOWDER RD
MECHANICSBURG PA 17050
REV-1548 EX AFP (01-09)
DATE 05-18-2009
ESTATE OF DAWSON VIVIAN R
DATE OF DEATH 09-21-2008
FILE NUMBER 21 09-0351
COUNTY CUMBERLAND
SSN/DC 188-12-4380
ACN 09100570
APPEAL DATE: 07-17-2009
(See reverse side under Objections)
Amount Remitted C
MAKE CHECK PAYABLEE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~> RETAIN LOWER PORTION FOR YOUR RECORDS ~
-------------------------------------------------------------------------------------------
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 05-18-2009
ESTATE OF DAWSON VIVIAN R DATE OF DEATH 09-21-2008 COUNTY CUMBERLAND
FILE N0. 21 09-0351
S.S/D.C. N0. 188-12-4380
ACN 09100570
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MST BANK ACCOUNT N0. 27623858
TYPE OF ACCOUNT: C )SAVINGS 4() CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 05-24-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
3,354.65
X 0.083
279.54
_ .00
279.54
X .45
12.58
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."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
PAYMENT MUST BE MADE BY 06-22-2009*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 12.58
INTEREST AND PEN. .00 ,
~
TOTAL DUE 12.58 ~
* 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. )