HomeMy WebLinkAbout12-21-07 (2)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
[[C(':'crr"; C:iNO:(f.e('OF INHERITANCE TAX
- -"'APPRAtSEMEIH. ALLOWANCE OR DISALLOWANCE
:,-:'~~'~FDEl!'-')CnONSi AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
*'
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280&01
HARRISBURG PA 17128-0&01
20U1 DEe 2 \ PM I: 03
LINDA J LUNDBERG
5634 AKRON DR
HARRISBURG
("LI=:~\( (If':
\J '._'.1, \j ~
Oc-.. , (,1\\ If] I
I'-\~''-''. .'\.:,,:n:
,I,'.',,' 1).'\
C!I' "
J"-'-'
PA 17109
REV-1548 EX AFP (0&-05)
DATE 12-24-2007
ESTATE OF DUDEK JR STANLEY A
DATE OF DEATH 06-22-2007
FILE NUMBER 21 07-0613
COUNTY CUMBERLAND
SSN/DC 178-22-2184
ACN 07002915
APPEAL DATE: 02-22-2008
(See reverse side under Objections)
A.aunt Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=is4S-EX-AFP-C03=Os5--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 12-24-2007
ESTATE OF DUDEK JR
STANLEY
A DATE OF DEATH 06-22-2007
COUNTY
CUMBERLAND
FILE NO. 21 07-0613
TAX RETURN WAS:
S.S/D.C. NO. 178-22-2184
eX) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: FIRST NATIONAL BANK
TYPE OF ACCOUNT:
DATE ESTABLISHED
ACN
07002915
ACCOUNT NO.
100186717
()SAVINGS () CHECKING ()TRUST ~ )TIME CERTIFICATE
04-07-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
70,000.00
0.500
35,000.00
.00
35,000.00
.45
1,575.00
X
X
TAX CREDITS:
PAYMENT
DATE
09-19-2007
RECEIPT
NUMBER
CD008710
DISCOUNT (+)
INTEREST/PEN PAID (-)
78.75
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."
AMOUNT PAID
1,496.25
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. *
{ IF TOTAL DUE IS LESS THAN *1. NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR). YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
1,575.00
.00
.00
.00
Oi