HomeMy WebLinkAbout12-10-10 (2)BUREAU OF INDIVIDUAL TAXE?'S~' r Cj -~~~ ~~ A~~~NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~ "` EMENT, ALLOWANCE OR DISALLOWANCE
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PO BOX 280601 ' ,a t ~ *~ ~ `L~~(r~`~ ~~UCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601
~ ~~~ ~ i L.~ ~~ ~ ~`'"'JOINTLY HELD OR TRUST ASSETS
~~~~~ ~~
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KIMBERLY D Si~;~~( "~`~.~ ~~1 , PA
605 S MAIN ST
MARYSVILLE PA 17053
Pennsylvania ~
DEPARTMENT OF REVENUE ~
REV-1548 EX AFP C12-09)
DATE 12-13-2010
ESTATE OF BRUDOWSKY MARIAN L
DATE OF DEATH 07-24-2009
FILE NUMBER 21 09-0736
COUNTY CUMBERLAND
SSN/DC 179-14-8711
ACN 09165682
APPEAL BY DATE:02-11-2011
(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 E--
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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: 12-13-2010
ESTATE OF:BRUDOWSKY MARIAN L DATE OF DEATH:07-24-2009
FILE NO.: 21 09-0736 S.S/D.C. NO.: 179-14-8711
COUNTY:CUMBERLAND
ACN: 09165682
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SUSQUEHANNA BANK ACCOUNT NO.: 403300001654
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING t )TRUST (X)TIME CERTIFICATE
DATE ESTABLISHED 03-05-2007
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
X 0.500
.00
- .00
.00
x .045
.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 CALCULATIDN 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.
~~