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HomeMy WebLinkAbout09-18-09COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES r~ •~'~aTI'LE'`BF INHERITANCE TAX INHERITANCE TAX DIVISION -'V~?PRAt'SEMENT,=ALLOWANCE OR DISALLOWANCE PO BOX 280681 ~ nG; DfbUCl TONS-; AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY-'HELD OR TRUST ASSETS ?~~~ J~! 4 C1 iC.I 4 Cl_E~T!< n~- OR~F- ~"`~~~~T NANCY E STUM i-'~',`~ ~ R~` 1329 DOUBLING GAP RD NEWVILLE PA 17241 REV-1548 EX AFP CO1-09) DATE 09-15-2009 ESTATE OF RICKARDS EDITH M DATE OF DEATH 05-16-2009 FILE NUMBER 21 09-0505 COUNTY CUMBERLAND SSN/DC 202-20-2757 ACN 09142676 APPEAL DATE: 11-14-2009 (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 ~ ------------------------------------------------------------------------------------------- REV-1548 EX AFP (01-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 09-15-2009 ESTATE OF RICKARDS EDITH M DATE OF DEATH 05-16-2009 COUNTY CUMBERLAND FILE N0. 21 09-0505 S.S/D.C. N0. 202-20-2757 ACN 09142676 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ADAMS COUNTY NATIONAL BANK ACCOUNT N0. 175137 TYPE OF ACCOUNT: C )SAVINGS 4C) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 09-16-1996 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 659.43 X 0.166 _ 109.91 .00 109.91 X .45 4.95 NOTE: 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 08-10-2009 CD011588 .25 4.70 TOTAL TAX CREDIT 4.95 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION DF ADDITIONAL INTEREST. C IF TOTAL DUE IS LESS THAN S1, ND PAYMENT IS REQUIRED. / IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND. ccc ocvcncc erne nr t~~*~ r...,.. ^...+ ~.•--•^••^--^~•^ -