HomeMy WebLinkAbout07-17-09 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~ NO~~j..E~~OF fSMHERITANCE TAX
INHERITANCE TAX DIVISION .t Et i L/tL CD41ANCE OR DISALLOWANCE
PD eoX 280601 .~E~~TF(1N~o~~~RND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 n_r J~J. N3:Ly HEL^D OR TRUST ASSETS REV-1548 IX AFP (O1-99)
DATE 07-13-2009
yUU9 JUL I7 PM IZ= 31DATETOFODEATH 02o20E2009 DAVID H
FILE NUMBER 21 09-0204
CLERK OF COUNTY CUMBERLAND
DONNA WEST ORP~HANN'S COURT ACN/DC 09117549048
7152 COUNTY ROAD #56 CUMg_~~~F'=+d "~'~"~' pppEAL DATE: 09-11-2009
MT GILEAD OH 43338 (See reverse side under Objections)
Amount Rewitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE 1 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 07-13-2009
ESTATE OF CLOUSER DAVID H DATE OF DEATH 02-20-2009 COUNTY CUMBERLAND
FILE N0. 21 09-0204 S.S/D.C. N0. 184-26-5048 ACN 09117549
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST
DATE ESTABLISHED 02-05-1990
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
85,579.74
X 0.083
7,131.36
.00
7,131.36
X .45
320.91
TAX CREDITS:
ACCOUNT N0. 113054-41
0()TIME CERTIFICATE
NOTE: TD 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 C-) AMOUNT PAID
05-15-2009 CD011243 16.05 320.91
TOTAL TAX CREDIT 336.96
BALANCE OF TAX DUE 16.05CR
INTEREST AND PEN. .00
TOTAL DUE 16.05CR
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. + n
( IF
TOTAL DUE IS LESS THAN •1,
NO PAYMENT IS REpUIRED. /
"/~
/
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY HE DUE A REFUND. "
V
\
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )