HomeMy WebLinkAbout10-09-09COMMONWEALTH OF PENNSYLYANIA
t- DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~r ~~~'~~~~~~~ ~01~ INHERITANCE TAX
INHERITANCE TAX DIVISION AP~PRA~S~EM~NT„,. A4LOWANCE OR DISALLOWANCE
PO BOX 280601 F ilE'!D&t1UCWiONS.-AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
WAYNE G FAILOR
APT 202
2837 N FRONT ST
HARRISBURG
ZOQg ~~~ '~ A~ I1 ~ ZZ DATE
ESTATE OF
DATE OF DEATH
~~' n'- FILE NUMBER
Cl~Fi-. ,'`,''~:~ ^f1 ITT COUNTY
C~ ~ ~- - ,,~ SSN/DC
ACN
REV-1548 EX AFP CO1-09)
10-05-2009
FAILOR KEATHE G
07-31-2009
21 09-0727
CUMBERLAND
1.85-09-3981
09152635
APPEAL DATE: 12-OG-2009
(See reverse side under Objelctions)
PA 17110-1218 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 ~ 10-05-2009
ESTATE OF FAILOR KEATHE G DATE OF DEATH 07-31-2009 COUNTY CUMBERLAND
FILE N0. 21 09-0727 S.S/D.C. N0. 185-09-3981
ACN 09152635
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU ACCOUNT N0. 8423!063620-S1
TYPE OF ACCOUNT: 4C )SAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 07-10-1974
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
542.03
X 0.166
90.34
- .00
90.34
X .45
4.07
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNIT, 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 0'F WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
09-28-2009 SBADJUST .00 4.07
TOTAL TAX CREDIT 4.07
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
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" C CR), YOU MAY BE DUE A REFUND.
-SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )