HomeMy WebLinkAbout01-08-10~,-
-,r. r =-r~(°N~~ICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~' - ~-
INHERITANCE TAX DIVISION ,APPBA~'~6M~kNT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 '":`_~'..'~{~--'OFt-''DEDUCTfONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 IX AFP Q2-09)
~~~~ ~~~ --$ ~~ { ~ ~ ~ DATE 12-28-2009
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ALICIA B GOTTSFN~FL'L ~~
1690 OBERLIN RD
MIDDLETOWN PA 17057-2948
ESTATE OF GOTSHALL DOROTHY M
DATE OF DEATH 05-02-2009
FILE NUMBER 21 09-0449
COUNTY CUMBERLAND
SSN/DC 206-10-9488
ACN 09159261
APPEAL DATE: 02-26-2010
(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 <'~'
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REV-1548 EX AFP C12-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 12-28-2009
ESTATE OF: GOTSHALL
FILE NO.: 21 09-0449 S.S/D.C. NO.: 206-10-9488
ACN: 09159261
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BK NA ACCOUNT NO.: 247412041980777
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST CX)TIME CERTIFICATE
DATE ESTABLISHED 12-11-2003
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TwV /`DCTTTC.
DOROTHY M DATE OF DEATH: 05-02-2009
11,504.38
X 0.500
5,752.19
- .00
5,752.19
Y .45
258.84
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."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
11-23-2009 CD012029 .00 258.84
TOTAL TAX PAYMENT 258.84
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
COUNTY: CUMBERLAND
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFUND. -
cFF REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
REV•1470 EX (8-88)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
NAME
Dorothy M. Gotshall
INHERITANCE TAX
EXPLANATION
OF CHANGES
Jennifer Schaefer
ITEM
SCHEDULE NO, EXPLANATION OF CHANGES
NUMBER
2109-0449.
09159261
Reported on probate return. Refund in process.
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