HomeMy WebLinkAbout01-08-10 (2)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
t ~";uW~~";;~'~OF INHERITANCE TAX
~'AP~ftAISI-MF~NT4~ ALLOWANCE OR DISALLOWANCE
_- DF :-i~~D~1CT:I`D~1$ ~ AND ASSESSMENT OF TAX ON
`^~`"' `' ~ ~~~ JOINTLY HELD OR TRUST ASSETS
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T R GRUVER (;~~
780 YOCUMTOWN RD
ETTERS PA 17319
Pennsylvania ~
DEPARTMENT OFREYENUE
REV-1548 IX AFP (12-09)
DATE 01-04-2010
ESTATE OF GRUVER THEODORE R
DATE OF DEATH 08-05-2008
FILE NUMBER ~ ~~
COUNTY CUMBERLAND
SSN/DC 168-26-2575
ACN 09106535
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
~ RETAIN LOWER PORTION FOR YOUR RECORDS ~'~' ---__
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CUT ALONG THIS LINE ---------------
REV-1548 EX AFP C12-09)
NOTICE OF INHERITANCE TAXTAPO~RTAXEONNJOINTLYWHELD OR TRUSTLASSETS OF
DEDUCTIONS, AND ASSESSMEN DATE: 01-0 -2 0
ESTATE OF: GRUVER THEODORE R DATE OF DEATH: 08-05-2008 COUNTY: CUMBERLAND
ACN: 09106535
FILE NO.: S.S/D.C. NO.: 168-26-2575
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
ACCOUNT NO.: 3623-28304
FINANCIAL INSTITUTION: FULTON BANK
X) CHECKING ( )TRUST ( )TIME CERTIFICATE
TYPE OF ACCOUNT: C )SAVINGS C
DATE ESTABLISHED 05-04-2007
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
57,281.41
X 0.166
9,547.09
_ .00
9,547.09
.45
429.62
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
DISCOUNT C+)
INTEREST/PEN PAID C-)
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
INTEREST IS CHARGED THROUGH 01-12-2010 BALANCE OF TAX DUE
AT THE RATES APPLICABLE AS OUTLINED ON THE INTEREST AND PEN.
REVERSE SIDE OF THIS FORM TOTAL DUE
9
* IF TOTALADUERISNREFLECTEDSAS AE^CREDITOR(CCRjULYCTUOMAYFBEDDUEIANREFUNDEREST.
_ ____ _~ ~~~r~ cnoM FOR INSTRUCTIONS.