HomeMy WebLinkAbout04-09-10 (2)BUREAU OF INDIVIDUAL TAXES ~~-' +' ~ t ~~ ~1~`ICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION `' `~; ~ t ~~,., ~~ ENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~~ ~~~y~: ~i~ ~~~,
f.1~I0NS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOIINTLY HELD OR TRUST ASSETS
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-09)
~~~~ A# ~ ~„~(~ AM `~, ~i~y. DATE 04-05-2010
i ESTATE OF BRUDOWSKY MARIAN
~~~ AA~~t~ ~r~y ~~
~~~~"i~~ ~ LVL+r i
KIMBERLY SCHAI~~~~~,~~~ ~~
~.
605 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 09163770
APPEAL BY DATE:06-04-2010
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
L
CUT ALONG THIS LINE ~ ""RETAIN"LOWER"PORTION FOR YOUR RECORDS ~
REV-1548 EX AFP C12-09) _____________________________________________""
NOTICE OF INHERITANCE TAX APPRAI EMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TA ON JOINTLY HELD OR TRUST ASSETS
DATE: 04-05-2010
ESTATE OF:BRUDOWSKY MARIAN L (DATE OF DEATH:07-24-2009 COUNTY:CUMBERLAND
FILE NO.: 21 09-0736 S.S/D.C. NO.: 179-14-8711 ACN: 09163770
TAX RETURN WAS: CX) ACCEPTE AS FILED C ~ CHANGED
JOINT R TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 70722-11
TYPE OF ACCOUNT: C SAVINGS CX) CHE KING C )TRUST C TIME CERTIFICATE
DATE ESTABLISHED 04-27-1987
Account Balance 16,029.11 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 3,014.56 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 3,014.56 REGISTER OF WILLS AT THE
Tax Rate .45 ABOVE ADDRESS. MAKE CHECK
Tax Due 135.66 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISC
INTEREST/ UNT C+)
EN PAID C-)
AMOUNT PAID
rt-rr~tn ~ r~us i Ist rIAUt 13Y U4-25-2010* .
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 135.66
INTEREST AND PEN. .00
TOTAL DUE 135.66
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR),'YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.