HomeMy WebLinkAbout10-23-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
t` ~~5rr ~'f r' '~ ~~NbT'ICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES `°
INHERITANCE TAX DIVISION ,i;' '.~'?R.12~AIGE~IEN~T, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~=-`-' `O'K Tf~DUCTI~ONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP CO1-09)
~~~ ~~,,~ 2~ ~ ~~' ~`~ ~ DATE 10-20-2009
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PAMELA BROGANS~ACHT ~ ,N.
209 CORNMAN LANE
LANDISBURG PA 17040
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS E-~
REV-1548 EX AFP-C01-097--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 10-20-2009
ESTATE OF BROGAN HUGH DATE OF DEATH 07-18-2009 COUNTY CUMBERLAND
FILE N0. 21 09-0752 S.S/D.C. N0. 552-52-3424
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 41015-00
ESTATE OF BROGAN HUGH
DATE OF DEATH 07-18-2009
FILE NUMBER 21 09-0752
COUNTY CUMBERLAND
SSN/DC 552-52-3424
ACN 09149361
APPEAL DATE: 12-19-2009
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
ACN 09149361
TYPE OF ACCOUNT: 4()SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 05-02-1984
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
1,868.79
)( 0.083
155.73
124.00
31.73
X .45
1.43
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 T0:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
09-11-2009 CD011788 .07 1.43 ,,,~-"
TOTAL TAX CREDIT 1.50
BALANCE OF TAX DUE .07CR
INTEREST AND PEN. .00
TOTAL DUE .07CR ~/'
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
C IF TOTAL DUE IS LESS THAN 41, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR], YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )