HomeMy WebLinkAbout06-12-09 (3)COMMONWEALTH OF PENNSYLVANIA
(DEPARTMENT OF REVENUE
rv~=~ -~' ~,~ rN®TI!E~ OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~'^'"^' ~ I9~M1~E1~7, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION r~'.~~:~'
PO BOX 280601 D~DU'L`1'Y`0"NS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLeY~ HELD OR TRUST ASSETS REV-1548 EX AFP (01-09)
2809 JUN i 2 PM iZ' J7 DATE 06-15-2009
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MARY E MUNDOR
5236 MEADOWBROOK DR
MECHANICSBURG PA 17050-6834
ESTATE OF OHARA DORA E
DATE OF DEATH 03-30-2009
FILE NUMBER 21 09-0457
COUNTY CUMBERLAND
SSN/DC 193-14-1910
ACN 09123971
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
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 DORA E DATE OF DEATH 03-30-2009 COUNTY CUMBERLAND
FILE N0. 21 09-0457 S.S/D.C. N0. 193-14-1910 ACN 09123971
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU ACCOUNT N0. 8502181095-S7
TYPE OF ACCOUNT: Q()SAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 07-21-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
101,224.33 NOTE:
X 0.166
16,871.06
.00
16,871.06
X .45
759.20
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."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
05-14-2009 CD011248 37.96 759.20
TOTAL TAX CREDIT 797.16
BALANCE OF TAX DUE 37.96CR
INTEREST AND PEN. .00
TOTAL DUE 37.96CR
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 IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )