HomeMy WebLinkAbout08-03-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APP,RAIS,EMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
f~L~4,' ~~~ _ j ~~ ~2~ 23 DATE 07-27-2009
ESTATE OF BRUBAKER MARIAN
C~C~ f r\~ DATE OF DEATH 03-24-2009
Q~Pw~'~.ti" ~n~j~T FILE NUMBER 21 09-0556
COUNTY CUMBERLAND
CYNTHIA SELF ~~~~~^~~ ~-, '~' Pp. SSN/DC 188-20-8176
ACN 09124517
8 STEPHEN STREET APPEAL DATE: 09-25-2009
D I L L S B U R G P A 17 019 (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 ~
REV-1548 EX AFP CO1-09)--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 07-27-2009
ESTATE OF BRUBAKER MARIAN DATE OF DEATH 03-24-2009 COUNTY CUMBERLAND
FILE N0. 21 09-0556 S.S/D.C. N0. 188-20-8176
ACN 09124517
IAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT N0. 104523-11
TYPE OF ACCOUNT: C )SAVINGS 4C) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 12-01-1988
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
2,085.51 NOTE:
X 0.166
347.59
.00
347.59
X .45
15.64
TO :[NSURE 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
06-12-2009 CD011359 .78 ].5.64
TOTAL TAX CREDIT 16.42
BALANCE OF TAX DUE .78CR
INTEREST AND PEN. .00
TOTAL DUE .78CR
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ '~/~
C IF TOTAL DUE IS LESS THAN Si, NO PAYMENT IS REQUIRED. G~L~,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFUND. f
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )