HomeMy WebLinkAbout07-17-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX OIV ISION
PO BOX 280601
HARRISBURG PA 17128-0601
N LICE O~;.S NHERITANCE TAX
l€(' ~K~~ /~tOWANCE OR DISALLOWANCE
'L~F, ~ QT{qMa,; AND ASSESSMENT OF TAX ON
r^1~LLj JI 'JO ThV'~~IibLD OR TRUST ASSETS
ZOU9 JUl I i PM 12T 3i
CLERK CF
KARL E COOPER ~yORPHAN'S COURT
16 LACOSTA AVE SM29 M1~vUPi"C?~~~s~~D (,'Q, PA
CANCUN pR00 77508
MEXICO OC 99999
REV-1548 IX AFP (01-09)
DATE 07-20-2009
ESTATE OF COOPER KARL W
DATE OF DEATH 04-15-2007
FILE NUMBER 21 07-0761
COUNTY CUMBERLAND
SSN/DC 174-20-6412
ACN 08137219
APPEAL DATE: 09-18-2009
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS !-
REV-1548 EX AFP (01-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 07-20-2009
ESTATE OF COOPER KARL W DATE OF DEATH 04-15-2007 COUNTY CUMBERLAND
FILE N0. 21 07-0761 S.S/D.C. N0. 174-20-6412 ACN 08137219
TAX RETURN WAS: IX) ACCEPTED AS FILED I ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: INTEGRITY BANK ACCOUNT N0. 1005833
TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST 6()TIME CERTIFICATE
DATE ESTABLISHED 05-25-2006
Account Balanee
Percent Taxable
Amount Sub]eet to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
53,296.94
X 1.000
53,296.94
.00
53,296.94
X .45
2,398.36
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
INTEREST IS CHARGED THROUGH U/-ZC-YUUY
AT THE RATES APPLICABLE AS OUTLINED ON THE B
REVERSE SIDE OF THIS FORM I
lulwl INA ~.rt cLal
ALANCE OF TAX DUE
NTEREST AND PEN.
TOTAL DUE
a IF PAID AFTER THIS GATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
( SF TOTAL OUE IS LESS THAN B1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR). YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
.00
2.398.36
230.30
2,628.66