HomeMy WebLinkAbout07-06-10 (2)BUREAU OF INDIVIDUAL TAXES "'""t'~ ~t"~f~ '~"~ {~~'~,.4F ,INHERITANCE TAX
INHERITANCE TAX DIVISION ~°.`.,~~~6.~~- waMC~ ;oR DtsaLLOw~NCE
PO 80X 280681 ~ *,C~fiz~O~'.t ~ A3SLSS~IENT OF tl-X ON
HARRISBURG PA 17128-0601 ~'- ~'~~ ~ ~,~pi•1V'TL+Y~~1~El~D OR TRUST ASSETS
~.ER4t t~F
~F't-1A1~i'S C~JURT
ETHEL BROGAN ~i~~~R~_,~`~~`~~ 4,~ , PA
201 RUNNING PUMP ROAD
NEWVILLE PA 17241
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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 CUM`4ERLAND
SSN/DC 552-52-3424
ACN 09149363
APPEAL BY DATEs08-27-2010
(See reverse side u~oder ~6f ections)
A~ount Re+atted
HAKE CHECK PAYABLE ANlI REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONC T~iIS LINE ~"B RETAIN LOWER PORTION FOR YOUR RECORD'S ~
REV-154a EX AFP C12-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AN~1 ASSESSMENT OF TAX ON JOINTLY `HELD OR 'TRUST ASSETS
DATE: 06-28-2010
,~~
ESTATE OF:BROGAN HUGH DATE OF DEATH:07-18{2009 COUNTY:CUMBERLAND
FILE NO.: 21 09-0752 S.S/D.C. NO.: 552-52-3424 ACN: 091493$3
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION :. MEMBERS 1ST FCU ACCOUNT NO.: 41016-11
TYPE OF ACCOUNT: C )SAVINGS (X) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 07-21-1992
Account Balance
Percent Taxable
Amount Sub3ect to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
1,024.90
0.166
=~ ._
170.82
- .00
170.82
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.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEf REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.