HomeMy WebLinkAbout11-23-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BURFaU OF INDIVIDUAL TAXES _ - NOTICE OF INHERITANCE TAX
INHEFITANCE TAX DIVISION - APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 -- `-=~OF'DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17126-0601 { JOI(N~TLY HELD OR TRUST ASSETS
a. `a` ~'
REV-1548 EX AFP (01-09)
,~:1,-,;~r;~~ it= DATE 11-16-2009
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ROGER P HEN ~'~
~I~~ICKS
1770 N MEADOW DR
MECHANICSBURG PA 17055
ESTATE OF HENDRICKS VIRGINIA
DATE OF DEATH 05-25-2009
FILE NUMBER 21 09-0726
COUNTY CUMBERLAND
SSN/DC 174-16-3504
ACN 09147474
APPEAL DATE: 01-15-2010
(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 11-16-2009
ESTATE OF HENDRICKS VIRGINIA DATE OF DEATH 05-25-2009
COUNTY CUMBERLAND
FILE N0. 21 09-0726 S.S/D.C. N0. 174-16-3504
ACN 09147474
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: FULTON BANK ACCOUNT N0.
3622-22892
TYPE OF ACCOUNT: C )SAVINGS ~ ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 09-24-2003
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
462.08
X 0.500
231.04
- 6,131.00
.00
X 15
.00
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 I RECEIPT DISCOUNT C+)
DATE 1 NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE of Turc CI1DM rno r.~~r.,~,,,___.._ _