HomeMy WebLinkAbout02-05-10 (4)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
HELEN L BRYNER
121 SALT ROAD
OF INHERITANCE TAX
~~' t~ys,~~ ~RAI$~~N , ALLOWANCE OR DISALLOWANCE
siir ~;Dfi~r~EDll~'~"Ib S, AND ASSESSMENT OF TAX ON
~~tav~'. `~~JO~NTLY HELD OR TRUST ASSETS
2Q{0 FEB -5 AM 11 ~ ~6
GI.ERK t;F
4RPHANq~, ~o~~jPP.
GU~,~~ _.R~ ..~:C1 ~.., ,
ENOLA PA 17025
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-D9)
DATE 02-08-2010
ESTATE OF BRYNER PAUL F
DATE OF DEATH 02-24-2009
FILE NUMBER Z~-~O°D/Z~
COUNTY C MBERLAND
SSN/DC 201-16-4005
ACN 09113688
APPEAL DATE: 04-09-2010
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE '~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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REV-1548 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: 02-08-2010
ESTATE OF: BRYNER PAUL F DATE OF DEATH: 02-24-2009 COUNTY: CUMBERLAND
FILE NO.:
S.S/D.C. NO.: 201-16-4005
ACN: 09113688
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 52235-00
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 01-20-1977
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAY rRFi)TTS:
2,798.50
X 0.166
466.43
- .00
466.43
Y .00
.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."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
TOTAL TAX PAYMENT .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. * ~~Y 1
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.