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HomeMy WebLinkAbout10-09-09 (2)COMMONWEALTH OF PENNSYLVANIA DEPA~~MENT OF REVENUE BUREAU OF INDIVIDUAL TAXES ``~'_;.~ .~` ~'-~' - ' t~drtCE; OF INHERITANCE TAX INHERITANCE TAX DIVISION ,~-"?1T«~[ZA7SEMENT` ALLOWANCE OR DISALLOWANCE PO BOX 280601 ~~`'~'~--'~-}'DF`D~DIICTIONS, AND ASSESSMENT OF TAX ON FU-RRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP COl-09) ~~~g OrT '-9 ~~ ~~ ~ ~~ DATE 10-05-2009 COURTNEY MEYERS CO NANCY ROGOWICZ 555 HILLCREST DR ~ ,r GLF CRS', ;-~ ~ . _ ~. 1 ^id~ CU 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 09005997 APPEAL DATE: 12-04-2009 (See reverse side under Objelctions) 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 4'~' -------------------------------------------------- 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 ACIN 09005997 iw1C Kt1UKN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: TWO ANNUITIES ACCOUNT N0. VAR2347EN532826 TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST ( )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: -r ~ W 7,271.00 X 1.000 7,271.00 - .00 7,271.00 X .45 327.20 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNt, SUBMIT THE UPPER PORTIf~N 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 TC cueQr_rn TLID,IItl~u , n , ~ ~. AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM ~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDI ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REpUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DU SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE 327.20 INTEREST AND PEN. 36.82 TOTAL DUE 364.02 TIONAL INTEREST. ~ E A REFUND. ...-~