HomeMy WebLinkAbout01-08-10 Pennsylvania
PARTMENT OF REVEN ~
•F` r r ~ I E 3'NHERITANCE TAX
ir'NO~fiL'Q ~ .' DE
BUREAU OF INDIVIDUAL TAXES
IVISION ~',/~ppfZ/CI,SEM~NT,z ALIFOWANCE OR DISALLOWANCE
`~AND ASSESSMENT OF TAX ON
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` REV-1548 EX AFP C12-09)
INHERITANCE TAX D
pD BOX 280601 NS
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JOINTLY. HELD OR TRUST ASSETS
HARRISBURG PA 17128-0601 DATE
~~ ' ~ ~ ~ 12-28-2009
HELEN
M
ESTATE OF
~~IIII .~~~ ~'$ BURTSAVAGE
DATE OF DEATH 11-01-2008
1 08-1265
FILE NUMBER 2
`~~ ~~~`~ `~' CUMBERLAND
h , 4 .,;-~~ ~~-~ COUNTY
(~~~~~~',`~.~''`'`' SSN/DC 168-18-3207
R~~`~" ~;' `~ -1 : ~~' ACN 09105688
EDWARD M BURTSAVAGE ~' APPEAL DATE: 02-26-2010
327 SOMERSET DR (See reverse side under Objections)
SHIREMANSTOWN PA 17011 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ -_________
CUT ALONG THIS LINE_____________________________________________
-----------------
REV-1548 EX AFP C12-09)
NOTUCTIONSINANDIASSESSMENTAOFRTAXEONNJOINTLYWHELD OR TRUSTLASSETS OF
DED DATE: - 8-2 0
ESTATE OF: BURTSAVAGE HELEN M DATE OF DEATH: 11-01-2008 COUNTY: CUMBERLAND
ACN: 09105688
FILE NO.: 21 08-1265 S.S/D.C. NO.: 168-18-3207
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
4000UNT NO.: 950203485
FINANCIAL INSTITUTION: M & T BANK
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST
DATE ESTABLISHED 10-08-1999
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
10 239.01
X 0.500
5,119.51
_ .00
5,119.51
.45
230.38
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
01-29-2009 I CD010829
DISCOUNT ~+)
INTEREST/PEN PAID C-)
11.52
C )TIME CERTIFICATE
NOTE: TO ENSURE 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."
AMOUNT PAID
218.86
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
* IF TOTALADUERISNREFLECTEDSAS AE"CREDITOR~CCR)uLYOUOMAYFBEDDUEIANREFUNDEREST.
_______ ...,,~ „~ Turc FORM FOR INSTRUCTIONS.