HomeMy WebLinkAbout07-17-09 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES r,', ~ '~'r~~ ~~`,1~rj.-yp[y~~~µ~. T~E OF INHERITANCE TAX
INNERI TANLE TAX oIV IS:ON ~`~~''~.;,~frA~7~IF,P~,fS~E~EHFr ALLOWANCE OR DISALLOWANCE
PD BW( 280601 N~.U~J ~C`l NED91~T¢QNS. AND ASSESSMENT OF TAX ON REV-1548 IX AFP (01-09)
HARRISBURG PA 17128-0601 JD TNYiY HELD OR TRUST ASSETS
2UQ9 JUL I 1 PM 12~ 3i
CLERK
ORPHAN'S COURT
ALFREDA RIVERS~R~~7J~~,~ vo„
2069 SPRING ROAD
CARLISLE PA 17013
DATE 07-13-2009
ESTATE OF SALISBURY ROSE
DATE OF DEATH 03-14-2009
FILE NUMBER 21 09-0299
COUNTY CUMBERLAND
SSN/DC 201-20-6591
ACN 09118414
APPEAL DATE: 09-11-2009
(See reverse side under 06jeclions)
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 F
REV-1548 EX AFP COl-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUS7 ASSETS
DATE 07-13-2009
ESTATE OF SALISBURY ROSE DATE OF DEATH 03-14-2009
FILE N0. 21 09-0299 S.S/D.C. N0. 201-20-6591
COUNTY CUMBERLAND
ACN 09118414
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 144864-11
TYPE OF ACCOUNT: C )SAVINGS 6() CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 07-22-1994
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
893.58
X 0.166
148.93
.00
148.93
X .45
6.70
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 (-) AMOUNT PAID
06-05-2009 CD011320 .34 6.70
TOTAL TAX CREDIT 7.04
BALANCE OF TAX DUE .34CR
INTEREST AND PEN. .DO
TOTAL DUE .34C
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDIT IONAL INTEREST. £
( IF TOTAL DUE IS LESS THAN fl.
NO PAYMENT IS REgUIRED. R
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRI, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )