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HomeMy WebLinkAbout08-13-10BUREAU OF INDIVIDUAL TAXES f :, ~; N~li~3CE OF INHERITANCE TAX INHERITANCE TAX DIVISION _.. APPRAI~SEt~ENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 _ OF__.; DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 ~ _ JOINTLY HELD OR TRUST ASSETS T~ ~ ~ ~ ~~ ,~ ~ c .. ,~ ,~;; F -~ :~;,, ~~ " ~` _ - ~>>.1 JEFFREY 0 SEES l ~~ 1109 APPLE DR APT 3 MECHANICSBURG PA 17055-3918 Pennsylvania ~' ~ T` DEPARTMENT OF REVENUE REV-].548 EX AFP t12-09) DATE 08-16-2010 ESTATE OF BRUDOWSKY MARIAN L. DATE OF DEATH 07-24-2009 FILE NUMBER 21 09-0736 COUNTY CUMBERLAND SSN/DC 179-14-8711 ACN 09158295 APPEAL BY DATE:10-15-2010 (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 ~ 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: O8-1b-2010 ESTATE OF:BRUDOWSKY MARIAN FILE NO.: 21 09-0736 S.S/D.C. NO.: 179-14-8711 COUNTY:CUMBERLAND ~-CN: 09158295 TAX RETURN WAS: CX} ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO.: 000031900239234 TYPE OF ACCOUNT: C }SAVINGS t } CHECKING t }TRUST ( ~ TIME CERTIFICATE DATE ESTABLISHED 03-18-2004 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAY f'RGTITTC • 1,123.43 NOTE: X 0.500 5b1.72 - .00 5b1.72 x .045 25.28 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 TO: '"REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT t+) INTEREST/PEN PAID C-) AMOUNT PAID INTEREST IS CHARGED THROUGH 08-24-2010 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM L DATE OF DEATH:07-24-2009 TDTAL TAX PAYMENT .00 BALANCE OF TAX DUE 25.28 INTEREST AND PEN. .34 TOTAL DUE 25.62 * 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. 9 ~ ` F._