HomeMy WebLinkAbout01-08-10~! ~ ~ `~ ~ ~``'~- ~"' NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES - 'd~PRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION -,'.^~•` / ; ~~_ •,., "'OFJ DEDUCTIONS, AND ASSESSMENT OF TAX ON
PO BOX 280601
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP Q2-09)
~,Q~Q ~~ _$ P~ ~~ ~ ~ DATE 01-04-2010
ESTATE OF BRYTZ SARA J
CL~~~ ~~
DOR I S ~~,~~Z
2820 MYRTLE DR
MECHANICSBURG PA 17055-5947
DATE OF DEATH 10-17-2009 ~/ `IU,~/~
FILE NUMBER "ti--vim--oii~
COUNTY CUMBERLAND
SSN/DC 200-16-8925
ACN 09173764
APPEAL DATE: 03-05-2010
(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 ---------------------
REV-1648 EX AFP C12-09)--------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: O1-D4-2010
ESTATE OF: BRYTZ
FILE NO.: 21 08-0115 S•
TAX RETURN WAS: CX)
FINANCIAL INSTITUTION: PSECU
TYPE OF ACCOUNT: C )SAVINGS
DATE ESTABLISHED 06-11-1991
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
S/D.C. NO.: 200-16-8925 ACN: 09173764
ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
ACCOUNT NO.: 0200168925-S4
(X) CHECKING C )TRUST C )TIME CERTIFICATE
4,529.29
X 0.166
754.90
- 2,777.00
.00
.45
.00
NOTE: TO ENSURE 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."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
SARA J DATE OF DEATH: 10-17-2009 COUNTY: CUMBERLAND
,
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFUND.
~~~ ncvrocc crnc nF THIS FORM FOR INSTRUCTIONS.
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r, ~-r- ~ ~~ '`~,
r _~.,, ;., , .
BUREAU OF INDIVIDUAL '~'~AXES " _
INHERITANCE TAX DIVISION W . ~~-^'
PO BDX 280601 ;";k_.~.+`~-r' '^
HARRISBURG PA 17128-0601
SARA J DATE OF DEATH: 10-17-2009 COUNTY: CUMBERLA
C~E'~-~`^~ ~~r -r
~^ JR
MARY C~~~,a.-~ ~;~ . , _ ..
1290 S MOUNTAIN RD
DILLSBURG PA 17019-9705
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-09)
DATE 01-04-2010
ESTATE OF BRYTZ SARA J
DATE OF DEATH 10-17-2009
FILE NUMBER 2-t"~'~-K ~~-~~-d~~~
COUNTY CUMBERLAND
SSN/DC 200-16-8925
ACN 09173765
APPEAL DATE: 03-05-2010
(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 ~ -------------
REV-1548 EX AFP C12-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUDATESSETSO -0 - 010
ND
ESTATE OF: BRYTZ
FILE NO.: 21 08-0115 S•
TAX RETURN WAS: CX)
FINANCIAL INSTITUTION: PS_ ECU
TYPE OF ACCOUNT: C )SAVINGS
DATE ESTABLISHED 06-11-1991
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
DISCOUNT (+)
INTEREST/PEN PAID C-)
NOTE: TO ENSURE 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 PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
2010 ~~~ "~ Pty ~ ~ ! ~
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
S/D.C. NO.: 200-16-8925 ACN: 09173765
ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
ACCOUNT NO.: 0200168925-S4
CX) CHECKING C )TRUST C )TIME CERTIFICATE
4,529.29
X 0.166
754.90
_ 2,777.00
.00
.45
.00
* IF TOTALADUERISHREFLECTEDSAS AE°CREDITOR(CCR;ULYOUOMAYFBEDDUEIANREFUNDEREST.
..~. erveocr etnC nF TNIS FORM FOR INSTRUCTIONS.