HomeMy WebLinkAbout09-18-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
apPRA~`~iENT ;~4L1pOW~lNCE OR DISALLOWANCE
OF._DEbUCTION•S~ AND ,ASSESSMENT OF TAX ON
,4 dOSNTLY MELD ;OR TRUST ASSETS
REV-1548 EX AFP (01-09)
DATE 09-15-2009
L~~~ ~~P ~ ~ ~~ ~~' ~~ATETOFODEATH 05C02B2009 KIMBERLY
FILE NUMBER 21 09-0680
~~~tS~( nr COUNTY CUMBERLAND
LACEE MATTHEWS C' ;F'N` ~ .` }'.--7 SSN/DC 160-52-5850
_=~~f ACN 09129180
$89 GRAHAMS WOODS ROAD ~`~~ ~~1, APPEAL DATE: 11-14-2009
NEWVILLE PA 17241 (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 ~1 RETAIN LOWER PORTION FOR YOUR RECORDS ~
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 09-15-2009
ESTATE OF RICKABAUGH KIMBERLY DATE OF DEATH 05-02-2009 COUNTY CUMBERLAND
FILE N0. 21 09-0680 S.S/D.C. N0. 160-52-5850 ACN 09129180
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT N0. 233022-00
TYPE OF ACCOUNT: 4()SAVINGS ( ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 07-21-2003
Account Balance
Percent: Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
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."
752.39
X 0.500
376.20
.00
376.20
)( . 4 5
16.93
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
07-21-2009 CD011517 .85 16.09
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
~ IF PAID AFTER THIS DATE, SEE REVERSE FDR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUI ED.
IF'TOTAL'DUE^IS-REFLECTED^AS A-"CREDIT" (TCR), YOU MAY BE DUE A REFUND.
16.94
.O1CR
.00
.O1CR
'`
I