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HomeMy WebLinkAbout09-18-09COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES ~-;~T~h ~~~~~T~P~~~ E ALLOWANCETORCDISALLOWANCE INHERITANCE TAX DIVISION kn...r, r PO Box 280601 ,i (~;~[r~ J`pEEfiS~~ONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 .~ ~F1fLY HELD OR TRUST ASSETS 2009 SEP 18 PM 12= 46 CLER:~( t3F ORPH~f~'S COI~RT DAREE KEPNE~~~,f~C~~~V.Gu,l~+ ('(~„ ~, 1 WEST PENN STREET CARLISLE PA 17013 REV-1548 EX AFP CO1-09) DATE 09-21-2009 ESTATE OF KEPNER GERTRUDE DATE OF DEATH 10-06-2008 FILE NUMBER ~ -O~-Q~S7 COUNTY CUMBERLAND SSN/DC 162-22-0709 ACN 08149365 APPEAL DATE: 11-20-2009 (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 09-21-2009 ESTATE OF KEPNER GERTRUDE DATE OF DEATH 10-06-2008 COUNTY CUMBERLAND FILE N0. S.S/D.C. N0. 162-22-0709 ACN 08149365 TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 222881-00 TYPE OF ACCOUNT: 4C )SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 10-01-2002 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 37,343.60 NOTE: X 0.500 18,671.80 .00 18,671.80 X .15 2,80,0.77 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 DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) AMOUNT PAID INTEREST IS CHARGED THROUGH 09-29-2009 TOTAL TAX CREDIT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 2,800.77 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 32.61 TOTAL DUE 2,833.38 ` n * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. * `~,/// C IF TOTAL DUE IS LESS THAN #1, 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. )