HomeMy WebLinkAbout10-09-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO 80X 280601
HARRISBURG PA 17128-0601
MARGARET A PATRICK
356 FUTURITY DR
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CAMP HILL PA 17011
REV-1548 EX AFP CO1-09)
DATE YO-05-2009
ESTATE OF MOORE MARY A
DATE OF DEATH 06-12-200
FILE NUMBER ~~ - ~q Q ~~
COUNTY CUMBERLAND
SSN/DC 252-54-3875
ACN 08156491
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 F""'
------------------------------------------------- ------
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 MOORE MARY A DATE OF DEATH 06-12-2008 COUNTY CUMBERLAND
FILE N0.
S.S/D.C. N0. 252-54-3875
AC'N 08156491
~w1C KtIUKN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: COMMERCE BANK HARRISBURG NA ACCOUNT N0. 536892656
TYPE OF ACCOUNT: C )SAVINGS 4O CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 01-31-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
~~r.„^~~1.r+,t-rt r,nOfilQ~'~;OF INHERITANCE TAX
- ~~%'AI~I~ADSEMEN7, "ALLOWANCE OR DISALLOWANCE
E,~'''•A~:-7)$DUCTt~?NS', AND ASSESSMENT OF TAX ON
JOINTLY~~HELD OR TRUST ASSETS
Z~~9 OCT -9 ~i~? l I ~ 2 ~
2,910.69 NOTE:
X 0.500
1,455.35
- 446.23
1,009.12
X .45
45.41
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."
I PAYMENT I RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) 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 41, 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
45.41
1.34
46.75