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HomeMy WebLinkAbout01-08-10~: ~~' ~ ~ `' F ~t~~ ~E OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES P!RAI$~ MT, ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIVISION i{~`y';J, ~~.. PO BOX 280601 F DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-D601 JOINNTLY HELD OR TRUST ASSETS 1~ Pennsylvania ~ DEPARTMENT (`F REVENUE REV-1548 EX AFP C12-09) ZOIO ~~- -8 PM DATE 01-04-2010 ESTATE OF GRUVER THEODORE R pRPN~~' ~ ' nUR~ GALE PRUNER 321 BAILEY ST NEW CUMBERLAND PA 17070 DATE OF DEATH 08-05-2008 FILE NUMBER p~ ~ -~~7 COUNTY CUMBERLAND SSN/DC 168-26-2575 ACN 09106534 APPEAL DATE: 03-05-2010 (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 (12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 01-04-2010 ESTATE OF: GRUVER THEODORE R DATE OF DEATH: 08-05-2008 COUNTY: CUMBERLAND FILE NO.: S.S/D.C. NO.: 168-26-2575 ACN: 09106534 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: FULTON BANK ACCOUNT NO.: 3623-28304 TYPE OF ACCOUNT: C )SAVINGS (X) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 05-04-2007 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TeY raFnrrc~ 57,281.41 X 0.166 9,547.09 - .00 9,547.09 y .00 .00 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 C+) INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX PAYMENT .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 REFLECTED AS A "CREDIT" C CR). YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.