HomeMy WebLinkAbout10-09-09COMMONWEALTH OF PENNSYLVANIA
nt' r~p~r~` ^r~'{ ~IEI'ARTMENT OF REVENUE
F" ~.J~ ~~-~'~ ~-'_ ~~,~Ip~SCE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES
(~,`''~;~;-,~P[jAL$~ME3rT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~L,
PO BOX 280601 ~ ""'~`" " "OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (01-09)
Z~Q~ ~~~ -~ ~'~ ~~ ~ ~2 DATE 10-05-2009
VL~v! j :r
~ (' r ~~7
BRUCE W ERICKSDN-' -r- -
3921 RIDGELAND BLVD
MECHANICSBURG PA 17050
ESTATE OF ERICKSON HELEN L
DATE OF DEATH 05-29-2009
FILE NUMBER 21 09-0513
COUNTY CUMBERLAND
SSN/DC 059-05-3018
ACN 09147548
APPEAL DATE: 12-04-2009
(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 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 ERICKSON HELEN L DATE OF DEATH 05-29-2009 COUNTY CUMBERLAND
FILE N0. 21 09-0513 S.S/D.C. N0. 059-05-3018 ACN 09147548
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: CITZENS BANK OF PA ACCOUNT N0. 6254143136
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST 4OTIME CERTIFICATE
DATE ESTABLISHED 09-11-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
22,628.37 NOTE:
X 1.000
22,628.37
.00
22,628.37
X .15
3,394.26
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 ORIDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT I RECEIPT (INTEREST/PEN PAID C-)I
DATE NUMBER AMOUNT PAID
PAYMENT MUST BE MADE BY 03-01-2010*.
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
3,394.26
.00
3,394.26
~ IF 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. )
__