HomeMy WebLinkAbout11-30-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ;~,~ Fr rt~y r~"~t~ ,r 'NICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION P(t~IS~MENT, ALLOWANCE OR DISALLOWANCE
PD BOX 288601 .~~_~ ~ ~ ~~, i~QF',f}~I~TIONS, AND ASSESSMENT OF TAX ON
HARRISBURG Pa lnzB-o6o1 JOINTLY HELD OR TRUST ASSETS
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505 JONES RD
ELKTON KY 42220
REV-1548 EX AFP (01-09)
DATE 11-30-2009
ESTATE OF PATRICK JAMES R
DATE OF DEATH 08-11-2009
FILE NUMBER 21 09-1028
COUNTY CUMBERLAND
SSN~DC 174-20-6742
ACN 09158434
APPEAL DATE: 01-29-2010
(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 <"~
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REV-1548 EX AFP (01-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 11-30-2009
ESTATE OF PATRICK JAMES R DATE OF DEATH 08-11-2009 COUNTY CUMBERLAND
FILE N0. 21 09-1028 S.S/D.C. N0. 174-20-6742 ACN 09158434
TAX RETURN WAS: tX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU ACCOUNT N0. 1174206742-S4
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING OC)TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 03-05-1997
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
21,696.91
X 1.000
21,696.91
.00
21,696.91
X .45
976.36
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 (+)
INTEREST/PEN PAID C-) AMOUNT PAID
10-29-2009 CD011931 48.82 927.54
TOTAL TAX CREDIT 976.36
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN Sl, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT'' ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
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