HomeMy WebLinkAbout01-15-10 (2)BUREAU OF INDIVIDUAL TAXES NOTICE-QF-INHERITANCE TAX
INHERITANCE TAX DIVISION j.. :APPRAIS,EMEKT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 "` 8F' I}EDI~~TIONS,.~AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
~~~
pennsyLvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-09)
J~~ ~ j ~~ ~~; ~~ DATE 01-19-2010
C~E~~ {~
DAVID L GOTTSHALL
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 09159260
APPEAL DATE: 03-20-2010
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
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: 01-19-2010
ESTATE OF: GOTSHALL DOROTHY M DATE OF DEATH: 05-02-2009 COUNTY: CUMBERLAND
FILE NO.: 21 09-0449 S.S/D.C. NO.: 206-10-9488
ACN: 09159260
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BK NA ACCOUNT NO.: 247412041980770
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING ( )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
TAX CREDITS:
.00 NOTE:
X 1.000
.00
- .00
.00
Y .15
.00
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
11-20-2009 CD012028 .00 258.85
TOTAL TAX PAYMENT 258.85
BALANCE OF TAX DUE 258.85CR
INTEREST AND PEN. .00
TOTAL DUE 258.85CR
* 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.