HomeMy WebLinkAbout06-12-09 (4)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMDNWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
y~'r''!'~(;'11;~Y~~`cl~. ~T~IHERITANCE TAX
~~~~ , ~lS~'~~~I~HWASSESSMENTSOFLTAXNON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP CO1-09)
2~9 JUN ! 2 PM 12' ~~ ESTATE OF OHARA-2009 DORA E
DATE OF DEATH 03-30-2009
ry~~~ ~p~ FILE NUMBER 21 09-0457
4R1r-t'~ SSN/DC 193B14~-1910
DORA F GIERLACK ~.. ~, ACN 09123972
1338 QUAIL RUN CIR
BETHEL PARK PA 15102
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 CO1-09)
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 09123972
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU ACCOUNT N0. 8502181095-S7
TYPE OF ACCOUNT: 4()SAVINGS C ) CHECKING C )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
TAX CREDITS:
101,224.33
X 0.166
16,871.06
.00
16,871.06
X .45
759.20
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 C-) AMOUNT PAID
05-14-2009 CD011256 37.96 721.24
TOTAL TAX CREDIT 759.20
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )