HomeMy WebLinkAbout11-30-09_. _.. _._ __ _ _. _. __ __ T_., __ _. _
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'~^~i '~~.lr~1t~~~k~OF,~?INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES PR ~uu LOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION {~. 'S r'„ '~
Po Box 2soboi ' ' `~U~SfiIO~$t, aND ASSESSMENT OF TAX ON
HARRISBURG PA i~lza-oboe JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP COl-091
2009 NOY 30 AM 1f : I~~. DATE 11-30-2009
ESTATE OF CLOUSE ELMER E
DATE OF DEATH 11-03-2008
~~~~(~ FILE NUMBER 21 OS-1167
~~'S ~~T COUNTY CUMBERLAND
BESSIE V CLOUSE Cv~~?ER~°'~~'~ C~., ~~ ACN/DC 09100689982
844 DOUBLING GAP RD APPEAL DATE: 01-29-2010
NEWUILLE PA 17241 (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 CLOUSE ELMER E DATE OF DEATH 11-03-2008 COUNTY CUMBERLAND
FILE N0. 21 08-1167 S.S/D.C. N0. 201-18-3982 ACN 09100689
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT N0. 10100'1041
TYPE OF ACCOUNT: ( )SAVINGS O() CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 01-01-2001
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
1,010.73 NOTE:
X 0.500
505.37
.00
505.37
X .15
75.81
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
INTEREST I5 GFIARGED TMRUUGM lG-Ut3-"LUUY
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF
( IF TOTAL DUE IS LESS THAN Sl, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY B
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 75.81
INTEREST AND PEN. 1.32
TOTAL DUE 77.13
ADDITIONAL INTEREST. ^
E DUE A REFUND.