HomeMy WebLinkAbout03-16-07 (2)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
.APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF 'DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
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DATE 03-19-2007
ESTATE OF BRUNGARD FRANCES T
DATE OF DEATH 12-02-2006
FILE NUMBER 21 06-1147
COUNTY CUMBERLAND
SSN/DC 177-09-8483
ACN 07104409
APPEAL DATE: 05-18-2007
(See reverse side under Objections)
A.ount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
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RUSSELL G B~f~RD'
7013 DORSEY rJ,J),
LAYTONSVILLE MD 20882
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=is4S-EX-AFP-C03=os5--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 03-19-2007
ESTATE OF BRUNGARD
FRANCES
T DATE OF DEATH 12-02-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-1147
TAX RETURN WAS:
S.S/D.C. NO. 177-09-8483
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
07104409
FINANCIAL INSTITUTION: CITIZENS BANK OF PA
ACCOUNT NO.
6205298736
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS 0<) CHECKING (HRUST (HIME CERTIFICATE
05-21-2004
X
13,010.30
0.500
6,505.15
.00
6,505.15
.45
292.73
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 TO:
"REGISTER OF WILLS, AGENT."
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
PAYMENT MUST BE MADE BY 09-03-2007*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 292.73
INTEREST AND PEN. .00
TOTAL DUE 292.73
*
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. *
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
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