HomeMy WebLinkAbout02-16-10BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
_ ~f10;f,I_CE OF INHERITANCE TAX
TAXES 'APPRAIS~EM~~~T, ALLOWANCE OR DISALLOWANCE
-UF DED.UCT30NS, AND ASSESSMENT OF TAX ON
_ ._ _,. JOiN'fLY HELD OR TRUST ASSETS
2010 X1=13 16 Pik I ~ 54
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CL~~I~ ~Jf
ORPN~l~+'S COURT
JEFFREY L YOHN C~~~g-!~' r~,'~~;(~ {;~ PA
142 MOUNTAIN DRIVE
EAST WATERFORD PA 17021
pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 IX AFP (12-09)
DATE 02-15-2010
ESTATE OF BLACK DEBORAH A
DATE OF DEATH 09-14-2008
FILE NUMBER 21 09-0086
COUNTY CUMBERLAND
SSN/DC 163-44-0418
ACN 10003399
APPEAL DATE: 04-16-2010
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS 4"'-------------------
REV-1548 EX AFP (12-09)
DEDUCTIONSINANDIASSESSMENTAOFRTAXEONNJOINTLYWHELD OR TRUSTLASSETS OF
DATE: 02-15-2010
ESTATE OF: BLACK DEBORAH A DATE OF DEATH: 09-14-2008 COUNTY: CUMBERLAND
S.S/D.C. NO.: 163-44-0418 ACN: 10003399
FILE NO.: 21 09-0086
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED _
JOINT OR TRUST ASSET INFORMATION
ACCOUNT NO.: NEWBURGPROPERTY
FINANCIAL INSTITUTION: 16 WEST MAIN STREET
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 05-16-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
65,000.00
X 0.500
32,500.00
_ 18,347.88
14,152.12
.15
2,122.82
DISCOUNT (+)
INTEREST/PEN PAID (-)
NOTE: 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."
AMOUNT PAID
TOTAL TAX PAYMENT
INTEREST IS CHARGED THROUGH 02-23-2010 BALANCE OF TAX DUE
AT THE RATES APPLICABLE AS OUTLINED ON THE INTEREST AND PEN.
REVERSE SIDE OF THIS FORM TOTAL DUE
2,122.82
70.77
2,193.59
1'\ ~
l
* IF TOTALADUERISNREFLECTEDSAS AE"CREDITORCCCRjULYOUOMAYFBEDDUEIANREFUNDEREST.
__ _..__ ~..nu cno iNCT RIICTIONS.