HomeMy WebLinkAbout01-15-10 (3)BUREAU OF INDIVIDUAL TAXES "':_``, ~4TTCE OF INHERITANCE TAX
INHERITANCE TAX DIVISION AF*PRAT$'EM'ENT, ALLOWANCE OR DISALLOWANCE
PO Box 280601 -0F'DEDFJCTfIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 '-'"~~''"" "' j'OINTLY HELD OR TRUST ASSETS
201D JAN f 5 PPS I2= 37
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GLORIA KEMPE~}~;~?~~(~~a,~~~ (~;(~„ PA.
428 LAFAYETTE STREET
ENOLA PA 17025
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-09)
DATE 01-13-2010
ESTATE OF KEMPER III JOSEPH H
DATE OF DEATH 01-18-2009
FILE NUMBER 21 09-0867
COUNTY CUMBERLAND
SSN/DC 178-24-9162
ACN 09108133
APPEAL DATE: 03-14-2010
(See reverse side under Objections)
Amount Rewitted
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) ----'---'------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 0 - 3-
ESTATE OF: KEMPER III JOSEPH H DATE OF DEATH: 01-18-2009 COUNTY: CUMBERLAND
FILE NO.: 21 09-0867 S.S/D.C. NO.: 178-24-9162 ACN: 09108133
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 315040-46
TYPE OF ACCOUNT: C )SAVINGS ( ) CHECKING C )TRUST CX)TIME CERTIFICATE
DATE ESTABLISHED 10-01-2007
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
25,266.01
X 0.166
4,211.09
- .00
4,211.09
Y .00
.00
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
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
0
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.