HomeMy WebLinkAbout12-18-09BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
- s ~1 i MQ'F1~~~~gFi-INHERITANCE TAX
,, ~ kPPI~pbSEMENTi, I~~LOWANCE OR DISALLOWANCE
^~~-6iP-'Ii~U1CTIdW$.,;~.~ND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
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CLERK n
ORPf~A~I'S ~~URT
GAIL STOUFFER cU1~~rcr~- ~"~~ G~., PA,
3609 KOHLER PL APT 9
CAMP HILL PA 17011
REV-1548 EX AFP CO1-09)
DATE 12-07-2009
ESTATE OF PEASE CARMELIA L
DATE OF DEATH 07-16-2009
FILE NUMBER 21 09-1051
COUNTY CUMBERLAND
SSN/DC 179-10-7733
ACN 09168764
APPEAL DATE: 02-05-2010
(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 ~
REV-1548 EX AFP CO1-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 12-07-2009
ESTATE OF PEASE CARMELIA L DATE OF DEATH 07-16-2009 COUNTY CUMBERLAND
FILE N0. 21 09-1051 S.S/D.C. N0. 179-10-7733
ACN 09168764
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BK NA ACCOUNT N0. 1090013141033
TYPE OF ACCOUNT: C )SAVINGS 4() CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 12-05-1997
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
5,760.20
X 0.500
2,880.10
.00
2,880.10
X .15
432.02
NOTE: TO INSURE 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 (-) AMOUNT PAID
11-06-2009 CD011975 .00 432.10
TOTAL TAX CREDIT 432.10
BALANCE OF TAX DUE .08CR
INTEREST AND PEN. .00
TOTAL DUE .08CR
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
C IF TOTAL DUE IS LESS THAN #1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )