HomeMy WebLinkAbout12-27-10:.~
~ INHERITANCE TAX
RECORD ADJUSTMENT
'~` E"'~"" ~t~ ~~' ~~LD OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION ~~~~;~;~~~ +~~. ~~i{~
PO BOX 280601 '
HARRISBURG PA 17128-0601
~_~ ~ aEC ~'~ P~ ~ _ ~
CLERK C3F
~~~~~~~~ C~~~~
JEFFREY 0 SEES CU~~FP`_f~~~D ~~~~
1109 APPLE DR APT 3
MECHANICSBURG PA 17055-3918
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1604 EX AFP (12-09)
DATE 12-02-2010
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
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 ~
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REV-1604 EX AFP C12-09~
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 12-02-2010
ESTATE OF: BRUDOWSKY MARIAN L DATE OF DEATH: 07-24-2009 COUNTY: CUMBERLAND
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO.: 000031900239234
FILE NO.: 21 09-073b S.S/D.C. N0.:179-14-8711 ACN: 09158295
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
TYPE OF ACCOUNT: ( ) SAVINGS C ~ CHECKING C ) TRUST CX) TIME CERTIFICATE
DATE ESTABLISHED 03-18-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
X 0.500
.00
_ .oo
.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 ADDRESS SHOWN ABOVE.
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
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.
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REV-1NT5 EX (01-10)
`` F ~ INHERITANCE TAX
} ~ ~ - pennsylvania
DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENTS NAME FILE NUMBER
MARIAN L BRUDOWSKY 2109-0736
REVIEWED BY ROBIN GRAFF I„~.,,~
09158295
SCHEDULE ITEM EXPLANATION OF CHANGES
NO.
A review has been conducted on this account. The Department has determined that this
joint bank account was properly reported on the probate return. Therefore, this
assessment has been corrected.