HomeMy WebLinkAbout08-03-09 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~,_ ~iQ:T~CE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ' ;_APPR/~ISEMENT-i ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~-'•-~'~F~- DC~HUCTIANS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
209 At1~ ~-3 ~~ 12- ~3
Cl-~RK ~'~
ORP~V~I'S ~Q~~RT
CHARLES E BURDICKC,U~B~~!='~~~'~~~ C~.,
3286 SPRING RD
CARLISLE PA 17013
REV-1548 EX AFP CO1-09)
DATE 08-03-2009
ESTATE OF BURCICK SR WILLIAM H
DATE OF DEATH 07-01-2008
FILE NUMBER 21 08-0761
COUNTY CUMBERLAND
SSN/DC 067-20-6784
ACN 08139561
APPEAL DATE: 10-02-2009
(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 C01-09)--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 08-03-2009
ESTATE OF BURCICK SR WILLIAM H DATE OF DEATH 07-01-2008
FILE N0. 21 08-0761 S.S/D.C. N0. 067-20-6784
COUNTY CUMBERLAND
ACN 08139561
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT N0. 2895400170
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING 4c )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 07-29-1998
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
8,645.04 NOTE:
X 0.333
2,881.65
.00
2,881.65
X .15
432.25
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 C+)
INTEREST/PEN PAID C-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 08-11-2009 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 432.25
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 7.82
TOTAL DUE 440.07
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )