HomeMy WebLinkAbout08-03-09 (5)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES '•_. !'NO~ItCE pF~INHERITANCE TAX
INHERITANCE TAX DIVISION t~APP1~AIS~MENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 `_.'J~F: !~~inU,CTIbN~S.,_~AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP C01-09)
~~~ ~~~ _~ ~ ~~; Z3 DATE 07-27-2009
ESTATE OF KAUFFMAN CLINTON E
DATE OF DEATH 07-30-2008
~€.E~~ GF FILE NUMBER 21 08-0826
C~RPHA~v'~ ~~«~~ COUNTY CUMBERLAND
STEVE KAUFFMAN ~l~M~~=~~ :~`~~~~~ ~~~'~, P~. ACN/DC
1 COBBLESTONE DRIVE APPEAL DATE: 09-25-2009
CAR L I S L E PA 17 015 (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 ~
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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 07-27-2009
ESTATE OF KAUFFMAN CLINTON E DATE OF DEATH 07-30-2008 COUNTY CUMBERLAND
FILE N0. 21 08-0826 S.S/D.C. N0. 176-44-1014
ACN 08136535
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 15539-05
TYPE OF ACCOUNT: 4()SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 10-01-1985
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
10,580.68
X 0.083
881.69
.00
881.69
X .12
105.80
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 iAx I:KELlI
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE
REVERSE SIDE OF THIS FORM INTEREST AND PEN.
TOTA
PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL 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. )
.00
105.80
1.39
107.19