HomeMy WebLinkAbout07-06-10BUREAU OF INDIVIDUAL TAXES
INNEItITANCE TAX DIVISION
PO BD)( 250601
HARRISBURG PA 17128-8601
~r~n ~^~ i~, .}~ ~ ~ INHERITANCE TAX
~'~'•%~Pit~'I`~S~~T:t .. 'IOWANCE OR DISALLOWANCE
1~~.:i''~~;~~}~~ .AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
~~i0 JUL -6 P~ 2~ ~~.
~~ ~~ ~~
Q~~~ ~ ~~
ETHEL BROGAN CU~Bcr,-~ :r~~,~C~ (u~ ~ P~
201 RUNNING PUMP ROAD
NEWVILLE PA 17241
p~r~rtsylvania
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-09)
DATE 06-28-2010
ESTATE OF BROGAN HUGH
DATE OF DEATH 07-18-2009
FILE NUMBER 21 09-0752
COUNTY CUMBERLAND
SSN/DC 552-52-3424
ACN 09149360
APPEAL BY DATE:08-27-2010
(See reverse side u»der Ob,~ec~Yons)
A~ount Ra~itted
MAKE CHECK '.PAYABLE. AND REMIT PAYMENT T0:
REGISTER OF' WILLS
1 COURTHOUSE SQUARE
CARLISLE P'A 17013
CUT ALONG THIS LINE ~- RETAIN LOWER PORTION FOR YOUR' RECORDS ~'""
REV-154a EX AFP C32-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLQWANCE OR DISALLOWANCE OF
DEDUCTIQNS, AND AS.SESSNENT OF TAX ON JOINTLY HELD QR TR'UST ASSETS
DATE: 06-28-2010
~~_~
ESTATE OFsBROGAN HUGH DATE OF DfATHs07-18-2009 COUNTY:CUMBERLAND
FILE NO.: 21 09-0752 S.S/D.C. NO.: 552-52-3424
ACN: 09149360
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFaR~IATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 41015-00
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 05-02-1984
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
-rwv rocnrTC.
1,868.79
X _,0~3
155.73
- .00
155.73
., . 0 0
.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-) AiMOUt~IT PAID
TOTAL TAX PAYMENT .00
BALAMiCE OF TAX IIUE • QO
INTEREST AND PEN. .00
TOTAL DUE .00
~ CIF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A pCREDIT" CCR). YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCtIONS.