HomeMy WebLinkAbout07-17-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
r .hpn rr(r~ q{,[ 'y~ 0 INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES k v~ ~~r`1 ~JrPMy~' F
INHERITANCE TAX DIVISION .~~SEM4 7~. ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~L 110171 .?AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
2004 JUL I l PM 12138
CLERK OF
ORPHAN'S COURT
SARAH J PREDIX CUMRFR!.S'.ND CO., PA
445 STATE STREETT
WEST FAIRVIEW PA 17025
REV-1548 EX AFP (01-09)
DATE 07-13-2009
ESTATE OF PREDIX CATHERINE A
DATE OF DEATH 09-20-2008
FILE NUMBER 21 09-0571
COUNTY CUMBERLAND
SSN/DC 177-42-4531
ACN 08148781
APPEAL DATE: 09-11-2009
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TD:
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 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 PREDIX CATHERINE A DATE OF DEATH 09-20-2008 COUNTY CUMBERLAND
FILE N0. 21 09-0571 S.S/D.C. NO. 177-42-4531 ACN 08148781
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 202128-00
TYPE OF ACCOUNT: C()SAVINGS ( ) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 02-20-2001
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
447.92
X 0.500
223.96
.00
223.96
X .45
10.08
NOTES 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 I+)
INTEREST/PEN PAID (-) AMOUNT PAID
06-12-2009 CD011372 .00 10.08
~ IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION 0
( IF TOTAL DUE IS LESS THAN O1. NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR). YOU NAY
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
TOTAL TAX CREDIT 10.08
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
F ADDITIONAL INTEREST. ~
BE OUE A REFUND.