HomeMy WebLinkAbout10-09-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES _ _ ;,,: ~~ ;: NrARICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ---~ kPPRAi$EMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~~v .", bs~ DE•t~1lFG~'IONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
2~~} ~~~ -~ ~~ ~ ~: 2~ DATE 10-05-2009
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NANCY ROG0~4L~Z ~ ( '~l'., ~fa
555 HILLCREST DR
YORK PA 17403
ESTATE OF BEINHOWER CLAIR W
DATE OF DEATH 03-17-2007
FILE NUMBER 21 07-0388
COUNTY CUMBERLAND
SSN/DC 210-26-5212
ACN 09005996
APPEAL DATE: 12-04-2009
(See reverse side under Objections)
A~ount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE '~1 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 10-05-2009
ESTATE OF BEINHOWER CLAIR W DATE OF DEATH 03-17-2007 COUNTY CUMBERLAND
FILE N0. 21 07-0388 S.S/D.C. N0. 210-26-5212 ACN 09005996
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: TWO ANNUITIES ACCOUNT N0. VAR2347EN532826
TYPE OF ACCOUNT: C )SAVINGS ( ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 03-17-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
7,271.00 NOTE:
X 1.000
7,271.00
.00
7,271.00
X .45
327.20
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 RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 10-13-2009
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
~ TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
C IF TOTAL DUE IS LESS THAN 61, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
.00
327.20
36.82
364.02