HomeMy WebLinkAbout04-0179BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. ZB060!
HARRISBURG, PA 171Z8-0601
· ~ FEi] 20 ~11:22
DONALD K UNDERDONK IIT
27 LILAC DR
HECHANICSBUI~/:- PA 17055,0'rift
Cum~:~c~ :~ ~; Co., PA
COHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPR&ISENENT. ALLON&NCE OR DISALLONANCE
OF DEDUCTIONS, AND ASSESSNENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS RE¥~2$~SEXAFPCOi-OS)
DATE 02-24-2004
ESTATE OF UNDERDONK NORHA
DATE OF DEATH 06-08-2003
FXLE NUHBER
COUNTY CUHBERLAND
SSN/DC 179-30-4480
ACN 03132860
Amount RmmL~ed
HAKE CHECK PAYABLE AND REHIT PAYHENT TO:
REGISTER OF WILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS -.M
REV-15~8 EX AFP (01-03)
NOTXCE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DXSALLO#ANCE OF
DEDUCTIONS, AND ASSESSHENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 02-24-2004
ESTATE OF UNDERDONK
NORHA L DATE OF DEATH 06-08-2003 COUNTY CUMBERLAND
FILE NO. S.S/D.C. NO. 179-30-4480
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
ACN 03132860
JOINT OR TRUST ASSET INFORHATXON
FINANCIAL INSTITUTION: PSECU ACCOUNT NO. 0179304480
TYPE OF ACCOUNT: ( ) SAVINGS (~ CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 05-15-2001
Accoun~ Balance 328.05
Percent Taxable X 0.500
Amoun~ Sub~ec~ ~o Tax 164.05
Debts and Deductions - 734.78
Taxable Amoun~ .00
Tax Ra~e ~ .45
Tax Due .00
TAX CREDTTS:
NOTE:
TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBHIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYHENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+) AHOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
TF PAID AFTER THTS DATE, SEE REVERSE FOR CALCULATION OF ADDTTTONAL INTEREST. ~
( TF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
TF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. )
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