HomeMy WebLinkAbout04-09-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*
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NOTICE OF INHERITANCE TAX
,A~PRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSHENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
fl. I' 1 II : ~:;2
REV-1548 EX AFP <06-05)
BUREAU OF INDIVIDUAL TAXES.
INHERITANCE TAX DIVISION '
PO lOX 280601
HARRISBURG PA 17128-0601
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C':~.JtJ?IT
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
04-09-2007
STAIVISKY
06-29-2006
21 07-0235
CUMBERLAND
193-30-1145
06147902
APPEAL DATE: 06-08-2007
(See reverse side under Objections)
A.ount Re.1ttedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
JACK
A
JERRY W sTffit1s'KY ,
420 NE 17TH AVE
BOYNTON BEACH
FL 33435
TO:
CUT ALONS THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS 4--
REY=ii4i-EX-iFP-coi=oi5--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 04-09-2007
ESTATE OF STAIVISKY
JACK
A DATE OF DEATH 06-29-2006
COUNTY
CUMBERLAND
FILE NO. 21 07-0235
TAX RETURN WAS:
S.S/D.C. NO. 193-30-1145
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06147902
FINANCIAL INSTITUTION: THE MUNCY BANK & TRUST CO
ACCOUNT NO.
2205004815
TYPE OF ACCOUNT:
DATE ESTABLISHED
~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
06-13-2005
Account Balance
Percent Taxable
A.ount Subject to Tax
Debts and Deductions
Taxable A.ount
Tax Rate
Tax Due
x
5,274.07
0.500
2,637.04
.00
2,637.04
.12
316.44
NOTE: TO INSURE 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."
x
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-06-2007 CD007890 .00 210.97
INTEREST IS CHARGED THROUGH 04-17-2007 TOTAL .TAX CREDIT 210.97
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 105.47
REVERSE SIDE OF THIS FORM INTEREST AND PEN. .44
TOTAL DUE 105.91
II IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. II ~
( IF TOTAL DUE IS LESS THAN .1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. )