HomeMy WebLinkAbout11-30-09.COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
r" ~ C~~`'I~ ; ~j y~~~. ~F' INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES Ht~~a t-~
INHERITANCE TAX DIVISION ~ SE~IFQT,~ sI~~LOMANCE OR DISALLOWANCE
PO Box 280601 }j~ ~IIIOFIS'`AND ASSESSMENT OF TAX ON
HARRISBIIRS PA 17128-0601 - JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP COl-49)
Z~~g ~~~ 30 AM }' • ~~ ESTATE OF BRUDOWSKY9 MARIAN
C~R~ ~~
oR~s, couRj
PATTI BUXTON ~Jj~J4~c(~'•-n4~? ~•°,~ ~ ~•
725 S MAIN ST
MARYSVILLE PA 17053
DATE OF DEATH 07-24-2009
FILE NUMBER 21 09-0736
COUNTY CUMBERLAND
SSN/DC 179-14-8711
ACN 09163771
APPEAL DATE: 01-29-2010
(See reverse side under Obfect"wns)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
L
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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REV-1548 EX AFP (01-091
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE 0'F
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 11-30-2009
ESTATE OF BRUDOWSKY MARIAN L DATE OF DEATH 07-24-2009 COUNTY CUMBERLAND
FILE N0. 21 09-0736 S.S/D.C. N0. 179-14-8711 ACN 09163771
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 180550-00
TYPE OF ACCOUNT: d()SAVINGS ( ) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 12-12-1998
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
1,498.53
X 0.500
749.27
.00
749.27
X .45
33.72
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 (-) AMOUNT PAID
10-29-2009 CD011917 .00 33.72
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF
( IF TOTAL DUE IS LESS THAN Sl, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY B
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
TOTAL TAX CREDIT 33.72
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
ADDITIONAL INTEREST. ^ C1
E DUE A REFUND.. /\