HomeMy WebLinkAbout01-08-10 (2)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
JONATHAN H HOOPER
125 N 26TH ST
~~ ~~ ^~ No~zc,~ 0~ INHERITANCE TAX
-,~-~PPR,I4I.S€-4EN,Zrt ALLOWANCE OR DISALLOWANCE
;~~~~v T1EUU'OTI01$S r.AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
2(lI0 JA~d -8 PPS I ~ ! Z
~~~
Q~4F'r~~- ~ ~ ti~~~~i i
.. .
CAMP HILL PA 17011-3617
Pennsylvania
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-09)
DATE 12-21-2009
ESTATE OF HOOPER MARY F
DATE OF DEATH 09-28- 009
FILE NUMBER t1-~ -~~ira~f
COUNTY CUMBERLAND
SSN/DC 008-10-6585
ACN 09169138
APPEAL DATE: 02-19-2010
(See reverse side under Objections)
A®ount 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 C12-09)
DEDUCTIONSINANDIASSESSMENTAOFRTAXEONNJOINTLYWHELD OR TRUSTLASSETS OF
DATE: -2 - 0 9
ESTATE OF: HOOPER MARY F DATE OF DEATH: 09-28-2009 COUNTY: CUMBERLAND
S.S/D.C. NO.: 008-10-6585 ACN: 09169138
FILE NO.:
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
ACCOUNT NO.: 0008106585-S4
FINANCIAL INSTITUTION: PSECU
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 12-17-1996
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
1,263.75
X 0.166
210.63
_ 857.87
.00
.45
.00
DISCOUNT C+)
INTEREST/PEN PAID (-~
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
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF TOTALADUERISHREFLECTEDSAS AE"CREDITORCCCR;ULYOUOMAYFBEDDUEIANREFUNDEREST.
__ __..__.... ....,~ ~~ TIJTC FeeM FOR INSTRUCTIONS.