HomeMy WebLinkAbout08-03-09 (4)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES .~~NO"F~ICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION _ ,`~AfPR~-ISEMENT,,_ ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~ `.-t.,f)F ~D'ilETI~ONS•, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
1~~'9 ~Ut~ -- 3 P' ~~~ 2
CLERIC ~~
tJRPH~N`S ~flURT
STEVE KAUFFMAN ~~~~~~--~~~~+~ ~~ .
1 COBBLESTONE DRIVE
CARLISLE PA 17015
REV-1548 D( AFP CO1-09)
DATE 07-27-2009
ESTATE OF KAUFFMAN CLINTON E
DATE OF DEATH 07-30-2008
FILE NUMBER 21 08-0826
COUNTY CUMBERLAND
SSN/DC
ACN 08136534
APPEAL DATE: 09-25-2009
(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 07-27-2009
ESTATE OF KAUFFMAN CLINTON E DATE OF DEATH 07-30-2008
FILE N0. 21 08-0826 S.S/D.C. N0. 176-44-1014
COUNTY CUMBERLAND
ACN 08136534
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 15539-11
TYPE OF ACCOUNT: C )SAVINGS 4() CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 08-27-1979
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
2,292.63
X 0.083
191.04
.00
191.04
X .12
22.92
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 C+)
INTEREST/PEN PAID C-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 08-04-2009 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 22.92
REVERSE SIDE OF THIS FORM INTEREST AND PEN. .30
TOTAL DUE 23,22
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCU DITIONAL INTEREST.
C 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. )