HomeMy WebLinkAbout06-12-09 (2) COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601 }y,,,~..s 'Tq`,'J~~~r~~t~NesKI`TANCE TAX
APPR}RfS 1~6YN,T(^ 'A -.rOWA~lCE OR DISALLOWANCE
OF I~~~l1~T[~SdS,a. ~1V1i.:A~SESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
DORA F GIERLACK
1338 QUAIL RUN CIR
BETHEL PARK PA 15102
REY-1548 EX AFP CO1-09)
2009 JUN 12 PM 12` ~~TATE OF OHARA-2009 DORA
DATE OF DEATH 03-30-2009
~~AAAA',r( ~ FILE NUMBER 21 09-0457
V~r~l~ a T SSN/DC 193B14L 1910
+~~~ ~., ~CN 09123970
APPEAL DATE: 08-14-2009
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
E
CUT ALONG THIS LINE '• RETAIN LOWER PORTION FOR YOUR RECORDS ~
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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 06-15-2009
ESTATE OF OHARA
FILE N0. 21 09-0457
DORA E DATE OF DEATH 03-30-2009 COUNTY CUMBERLAND
S.S/D.C. N0. 193-14-1910
ACN 09123970
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU ACCOUNT N0. 8502181095-S4
TYPE OF ACCOUNT: C )SAVINGS 6() CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 01-24-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
10,931.08 NOTE:
X 0.166
1,821.88
.00
1,821.88
X .45
81.98
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 (+)
INTEREST/PEN PAID (-) AMOUNT PAID
05-14-2009 CD011258 4.10 77.88
rUrnt. rax ~Keui~
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
C IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS RECUIRED.
IF TOTAL DUE LS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
81.98
.00
.00
.00 ~