HomeMy WebLinkAbout05-15-09 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU DF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
QF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
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HARRY H D$I~~ON !'`,
21 BENT CREEK BLVD
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 09100572
APPEAL DATE: 07-17-2009
(See reverse side under Objections)
Amount Remitted C
MAKE CHECK PAYABLIE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND C0~ 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 09100572
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: M8~T BANK ACCOUNT N0. 27623858
TYPE OF ACCOUNT: C )SAVINGS 6O 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 .00
.00
NOTE: TO INSURE PROPER CREDIT TO
YOUF; 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 (+)
INTEREST/PEN PAID C-) AMOUNT F'AID
I U I AL 1 AA I.R CU1 1
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIDNAL INTEREST.
C IF TOTAL DUE IS LESS THAN S1, ND 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. )
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