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HomeMy WebLinkAbout12-18-09 COMMONWEALTH, OF PENNSYLVANIA DEPARTMENT OF REVENUE -r,, -_, r~ ~i,- ,~,- ~' ~NQ~I&~ 'QF;'I~F~ERITANCE TAX BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION l 1ENT, Ati4gV~ANCE OR DISALLOWANCE AP.~`,RAxS€€ PO BOX 280601 , , 0~'~t:~T41Cf2'ON~3, ANS.-ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP CO1-09) ~~Q~~~C 18 ~~~~; 3$ATE 12-07-2009 ESTATE OF TOMLINSON PHILIP B DATE OF DEATH 09-15-2009 Ci~..,E~i~ Q~ FILE NUMBER 21 09-0950 aRPN~,N'~ ,~,Q~Jr~Y COUNTY CUMBERLAND C~~,tf~~!~ ~,`'~[~ ran PA SSN/DC 203-05-6555 LINDA SIMONS -; ACN 09161429 335 MULBERRY DRIVE APPEAL DATE: 02-05-2010 MECHANICSBURG PA 17050 (See reverse side underObjeetions) 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 F' ------------------------------------------------------------------------------------------- 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 TOMLINSON PHILIP B DATE OF DEATH 09-15-2009 FILE N0. 21 09-0950 S.S/D.C. N0. 203-05-6555 COUNTY CUMBERLAND ACN 09161429 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 314782-43 TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST 4()TIME CERTIFICATE DATE ESTABLISHED 09-27-2007 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 6,050.73 X 0.500 3,025.37 .00 3,025.37 X .45 136.14 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 C-) AMOUNT PAID 11-06-2009 CD011973 6.81 129.33 TOTAL TAX CREDIT 136.14 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF PAID AFTER THIS DATE, SEE REYERSE FOR CALCULATION OF ADDITIONAL INTEREST. * _ O C IF TOTAL DUE IS LESS THAN il, NO PAYMENT IS REpUIRED.`.]~~\ IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR). YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )