HomeMy WebLinkAbout07-05-11~ /~r' ~"'"~" r ICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~~t/~~,`:~~ t~`` ~ ~ ~>r~l
INHERITANCE TAX DIVISION C,~- -~ f AP R+ S NT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 t"`~~,~;~J .~ ~'F- ~I~TIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ~ "~ "`~'~NTLY HELD OR TRUST ASSETS
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STEVEN B BR Y?IE'~~~~1_.~h4~ ~;~ , pA
324 PEACH GLEN ROAD
GARDNERS PA 17324
Pennsylvania
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-10)
DATE 07-04-2011
ESTATE OF BRYNER FLORENCE A
DATE OF DEATH 04-23-2011
FILE NUMBER 21 11-0624
COUNTY CUMBERLAND
SSN/DC 209-20-2156
ACN 11130338
APPEAL BY DATE:09-02-2011
(.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 ~
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REV-1548 EX AFP C12-10)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 07-04-2011
ESTATE OF:BRYNER
FLORENCE A DATE OF DEATH:04-23-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-0624 S.S/D.C. NO.: 209-20-2156
ACN: 11130338
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 320604-11
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 01-02-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TeY ra~nrrc.
347.97 NOTE:
X 0.500
173.99
- .00
173.99
X .045
7.83
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 (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
05-26-2011 CD014514 .39 7.45
TOTAL TAX PAYMENT 7.84
BALANCE OF TAX DUE .O1CR
INTEREST AND PEN. .00
TOTAL DUE .O1CR
* 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.