HomeMy WebLinkAbout08-03-09 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~- ;~.~'f~ - NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~ ~• `APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~ } ~ ' OF- DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ~'i..`.=. -'' ~- ' '~" ~ ~ JOINTLY HELD OR TRUST ASSETS
~LER~: ~~ f~~
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KRISTEN s ~~~•r~') ~(~,, PA.
4048 SENECA N~~~'~~
CAMP HILL PA 17011
REV-1548 IX AFP CO1-09)
DATE OS-03-2009
ESTATE OF GREEN MICHAEL T
DATE OF DEATH 08-21-2008
FILE NUMBER 21 08-0901
COUNTY CUMBERLAND
SSNlDC 196-48-4639
ACN 08140492
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 ~
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REV-1548 EX AFP COl-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 GREEN MICHAEL T DATE OF DEATH 08-21-2008 COUNTY CUMBERLAND
FILE N0. 21 OS-0901 S.S/D.C. N0. 196-48-4639 ACN 08140492
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 303655-91
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING 4C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 04-03-2007
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
504.11
X 0.500
252.06
_ .00
252.06
X .45
11.34
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 08-11-2009 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 11.34
REVERSE SIDE OF THIS FORM INTEREST AND PEN. .13
TOTAL DUE 11.47
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REpUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )