HomeMy WebLinkAbout11-23-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES NdTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION AP.PRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 - ~~'DEDUC`fIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (01-09)
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CHERYL BRUBAK~~R' ~ ~,"'
18 SOUTH 30TH STREET
CAMP HILL PA 17011
009
ESTATE OF BRUBAKER MARIAN
DATE OF DEATH 03-24-2009
FILE NUMBER 21 09-0556
COUNTY CUMBERLAND
SSN/DC 188-20-8176
ACN 09124516
APPEAL DATE: 01-15-2010
(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 F--
REV-1548 EX AFP (01-09) ----------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 11-16-2009
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 09124516
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0.
104523-11
TYPE OF ACCOUNT: ( )SAVINGS 4C) CHECKING ( )TRUST ( )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
X 0.166
347.59
- 2,085.51
.00
X .45
.00
PAYMENT I RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-)
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."
AMOUNT PAID
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
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