HomeMy WebLinkAbout07-10-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
VWRRIS BURG PA 1]128-0601
CAROL A ]OOZE
23 DERBYSHIRE DR
CARLISLE
..r,nFyr.r'., (^)~'(. ~I(."~''OF INHERITANCE TAX
~ t/'-°^br~RYYiS EN]'", ALLOWANCE OR DISALLOWANCE
hC~`y.`~~~~Q~U~i;IpN,s, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 E% AFP (01-09)
2009 JUL 10 AM II 37 DATE 07-06-2009
ESTATE OF ]OOZE ALBERT
DATE OF DEATH 02-06-2009
CLERK OF
ORPHAN'S COURT
GU~111~~.r`),~ /'-'a~Q CC., PA FILE NUMBER 'a,~- _~~,
COUNTY CUMBERLAND
SSN/DC 148-34-1710
ACN 09136682
APPEAL DATE: 09-04-2009
PA 17015 (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 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 07-06-2009
ESTATE OF ]DOZE
FILE N0.
ALBERT DATE OF DEATH 02-06-2009 COUNTY CUMBERLAND
S.S/D.C. N0. 148-34-1710
ACN 09136682
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BK NA ACCOUNT N0. 1010042362449
TYPE OF ACCOUNT: ( )SAVINGS 6() CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 12-07-2001
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
1,518.06
X 0.500
759.03
.DO
759.03
X .00
.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 C-) AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
00
00
00
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTE
( IF TOTAL DUE IS LESS THAN •1, NO PAYMENT IS REDUIRED.
IF TOTAL DUE IS REFLECTED AS A ''CREDIT" C CR). YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )