HomeMy WebLinkAbout07-10-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~f ~I^r NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ;~"~,Ip..',-.i!
!L`~~~~'`~•'" APP I EMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION r ~~ ~
PO BOX 280601 ~~r~~.(J~Jj [S{ ~QY+ ~~EDWCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 11128-a6o1 JOINTLY HELD OR TRUST ASSETS
REV-1548 IX AFP (O1-09)
OF FOUGHT SARA
2~9 JUG 10 pM 1:35 DATE 07-06-2009
CLERK OF
errs couRT
BETTY BARRI R,Fg1 F~~~ C"•-., PP.
190 WEST MIDDLESE~ DR
CARLISLE PA 17013
ESTATE
DATE OF DEATH 04-15-2009
FILE NUMBER 21 09-0531
COUNTY CUMBERLAND
SSN/DC 160-16-6271
ACN 09126866
APPEAL DATE: 09-04-2009
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
M
CUT ALDN6 THIS LINE ~ 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 JDINTLY HELD OR TRUST ASSETS
DATE 07-06-2009
ESTATE OF FOUGHT SARA M DATE OF DEATH 04-15-20D9 COUNTY CUMBERLAND
FILE N0. 21 09-0531 S.S/D.C. N0. 160-16-6271 ACN 09126866
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 43412-11
TYPE OF ACCOUNT: I )SAVINGS 6C) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 08-14-1997
Account Balance
Percent Taxable
Amount Sub]ect to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
2,138.10
X 0.500
1,069.05
_ 2x188.80
.00
X .45
.00
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 (+)
INTEREST/PEN PAID (-) AMOUNT PAID
a
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF PAID AFTER THIS DATE, SEE
( IF TOTAL DUE IS LESS TXAN •1,
REVERSE FOR CALCULATION OF
NO PAYMENT IS REQUIRED.
"
ADDITIONAL INTEREST. ~
D ~
IF TOTAL DUE IS REFLECTED AS C CR). YOU MAY
A "CREDIT HE DUE A REFUN
.
SEE REVERSE SIDE OF TXIS FORM FOR INSTRUCTIONS. )