HomeMy WebLinkAbout07-17-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ,y~'[,(~F10~#C,E OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~;.~~!''i~',~~'„!•r1~''A'~`u9E+~T' ALLOWANCE OR DISALLOWANCE
PD BDX 280601 '--~~~" a"'J~F .,DE YC~ TONS, AND ASSESSMENT OF TAX ON
HARRIS BURG PA 17128-8 6 81 ~~~''~Y: i ~~Q.r YLY HELD OR TRUST ASSETS
2009 JUl I l PM 12138
CLERK CF
CAROLYN I BLOOM ORP1-iANSCOURT
4392 VALLEY RD ~M~C~i "~'~~ ~'~" PP.
SHERMANSDALE PA 17090
REV-1548 IX AFP Iel-89)
DATE 07-13-2009
ESTATE OF VANDERWEIDE MARY C
DATE OF DEATH 03-25-2009
FILE NUMBER Z1-0~-Oo5(n3
COUNTY CUMBERL ND
SSN/DC 150-28-4381
ACN 09131939
APPEAL DATE: 09-11-2009
(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 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 VANDERWEIDE MARY C DATE OF DEATH 03-25-2009 COUNTY CUMBERLAND
FILE N0. S.S/D.C. N0. 150-28-4381 ACN 09131939
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT N0. 106003446
TYPE OF ACCOUNT: C )SAVINGS 6C) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 03-22-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
510.76
X 0.500
255.38
.00
255.38
X .15
38.31
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 I+)
INTEREST/PEN PAID (-) AMOUNT PAID
PAYMENT MUST BE MADE BY 12-26-2009. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 38.31
INTEREST AND PEN. .00
TOTAL DUE 38.31
~ IF PAID AFTE R THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. +
( IF TOTAL DUE IS LESS THAN •1, ND PAYMENT IS REpUIRED.
IF TOTAL DUE
IS REFLECTED
AS A "CREDIT" ( CR), VOU MAY
BE DUE A REFUND. ~~~
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )