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Home My WebLink About06-13-08COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES ~' ~ ~ F7fl`C-I•~ 0~. INHERITANCE TAX INHERITANCE TAX DIVISION • APPI7AIS~ME~NT, gLLOWANCE OR DISALLOWANCE PO BOX 280601 (~F,;I)EI3UiCT"I~O~Sr 'AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 ~ JOINTLY HELD OR TRUST ASSETS L~~U JUl'~ t J ~~ IG' JCJ C~~~~t 0 Q~tQF~,o`~~I ~ :"C?URT STASIA DLUGOLECK~~RrI''~~' ! r;~1•, ~,~~, 307 MONROE ST MECHANICSBURG PA 17055 REV-1548 EX AFP (06-05) DATE 06-16-2008 ESTATE OF DLUGOLECKI PAUL S DATE OF DEATH 01-06-2008 ~,/ FILE NUMBER ~( _ O`f'~ ~~ ~~-~ COUNTY CUMBERLAND SSN/DC ACN 08114998 APPEAL DATE: 08-15-2008 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ------------------------------------------------------------------------------------------- REV-1548 EX AFP C03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 06-16-2008 ESTATE OF DLUGOLECKI FILE N0. PAUL S DATE OF DEATH 01-06-2008 COUNTY CUMBERLAND S.S/D.C. N0. 198-07-8768 ACN 08114998 TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 7502-46 TYPE OF ACCOUNT: C )SAVINGS ( ) CHECKING C )TRUST 4C )TIME CERTIFICATE DATE ESTABLISHED 11-15-2006 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 50,552.11 NOTE: X 0.050 2,527.61 .00 2,527.61 X .00 .00 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 T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. * C IF TOTAL DUE IS LESS THAN SI, NO PAYMENT IS REQUIRED. L DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND. ~ SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 CASIMIR DLUGOLECKI 621 MOYER RD COMMONWEALTH OF PENNSYLVAMIA DEPARTMENT OF REVENUE ~ Nd'CI'I:E40F.i^INHERITANCE TAX AFPRAISEMENT; Ada OWANCE OR DISALLOWANC E 0~'''L?~DUCTIOfiS,' AND ASSESSMENT OF TAX O N JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP C06-05) ,~~.~(~~ J~ j ;j ~ !2: J PATE 06-16-2008 ESTATE OF DLUGOLECKI PAUL S DATE OF DEATH 01-06-2008 U~~r~ lJ+' FILE NUMBER ~~ ~ v~ - U~~~4 n V~'~i~t-'1h,14' u',~1~J~~ COUNTY CUMBERLAND ~r~~l~,' ','~_ ""~ Pl~ SSN/DC ACN 08114999 SOUDERTON PA 18964 APPEAL DATE: 08-15-2008 (See reverse side under Objections) Amount Remitted ~- MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~'- REV-1548 EX AFP (03-057-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 06-16-2008 ESTATE OF DLUGOLECKI FILE N0. S.S/D.C. N0. 198-07-8768 COUNTY CUMBERLAND ACN 08114999 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 7502-46 TYPE OF ACCOUNT: C )SAVINGS ( ) CHECKING C )TRUST 6C )TIME CERTIFICATE DATE ESTABLISHED 11-15-2006 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: PAUL S DATE OF DEATH 01-06-2008 50,552.11 NOTE: X 0.050 2,527.61 .00 2,527.61 ~ .45 113.74 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 T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) AMUUNT PAID PAYMENT MUST BE MADE BY 10-07-2008*. TOTAL TAX CREDIT 00 BALANCE OF TAX DUE 113.74 INTEREST AND PEN. .00 TOTAL DUE 113.74 * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ( IF TOTAL DUE IS LESS THAN S1, IS REQUIRED. ADDITIONAL INTEREST. ~ `~ \ ~ \ IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND. \ J SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE: BUREAU OF INDIVIDUAL TAXES ~~^''~ N;O'F~CF OF INHERITANCE TAX INHERITANCE TAX DIVISION A~PRATSEME~IT,. ALLOWANCE OR DISALLOWANCE PO BOX 288601 -'i OAF; ~E-U,CTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS ~'C~~ J~J~ { 3 P~ {~~ 3 STASIA DLUGOLECI~~~t '~ ~ 307 MONROE ST MECHANICSBURG PA 17055 REV-1548 EX AFP (06-05) DATE 06-16-2008 ESTATE OF DLUGOLECKI PAUL S DATE OF DEATH D1-06-2008 FILE NUMBER ~(, (~~~ -~l~i(~ COUNTY CUMBERLAND SSNlDC ACN 08115002 APPEAL DATE: 08-15-2008 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS <"~ ------------------------------------------------------------------------------------------- REV-1548 EX AFP C03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 06-16-2008 ESTATE OF DLUGOLECKI FILE N0. PAUL S DATE OF DEATH 01-06-2008 COUNTY CUMBERLAND S.S/D.C. N0. 198-07-8768 ACN 08115002 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 7502-45 TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING C )TRUST 4()TIME CERTIFICATE DATE ESTABLISHED 09-01-1964 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 6,567.86 NOTE: X 0.050 328.34 .00 328.39 X .00 .00 TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TD 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 (-) AMOUNT PAID TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. * ( IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED. ~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" t CR), YOU MAY BE DUE A REFUND. ~ SEE REVERSE SIDE FOR INSTRUCTIONS. ) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES ~ ~` NOTTCE pF INHERITANCE TAX INHERITANCE TAX DIVISION API~AISEME~IT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 ;,,6p. D~11,UCTLANS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 ~ ~ JOINTLY HELD OR TRUST ASSETS `~~'~~ J~~~ i 3 6'~? ~2.~ 3 r~C:tFr~1 ~~,,)R.T CASIMIR DLUGOLECK~~tt, ,. 621 MOYER RD ~ SOUDERTON PA 18964 .ap REV-1548 EX AFP (06-05) DATE 06-16-2008 ESTATE OF DLUGOLECKI PAUL S DATE OF DEATH 01-06-2008 FILE NUMBER ~(- Uc6 - yy~ COUNTY CUMBERLAND SSN/DC ACN 08115003 APPEAL DATE: 08-15-2008 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ------------------------------------------------------------------------------------------- REV-1548 EX AFP C03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 06-16-2008 ESTATE OF DLUGOLECKI PAUL S DATE OF DEATH 01-06-2008 COUNTY CUMBERLAND FILE N0. S.S/D.C. N0. 198-07-8768 ACN 08115003 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 7502-45 TYPE OF ACCOUNT: C )SAVINGS C 7 CHECKING ( )TRUST 4C )TIME CERTIFICATE DATE ESTABLISHED 09-01-1964 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 6,567.86 NOTE: X 0.050 328.39 .00 328.39 X .45 ._14.78 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 T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID C-) AMOUNT PAID PAYMENT MUST BE MADE BY 10-07-20ot3*. IUTAL IAR I.KtLll BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE ~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TDTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFU ERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) .00 14.78 .00 14.78 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES ~ '. IVOT_Y~E OF INHERITANCE TAX INHERITANCE TAX DIVISION APPRAI'SEMENT, ALLOWANCE 0R DISALLOWANCE PO BOX 280601 DF~`~)EDUCTIOM$,. AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 `JOINTLY HELD OR TRUST ASSETS n ~~~~~ J~v~~ ~ :3 ~'E,g 12.~ ,~ ~ h', { ~'' ~~~rt~~i\ 1 '4J~~A111 ~ STASIA DLUGOLECKI ~li {~'^ ~ '~r' ~ ~ PI? 307 MONROE ST MECHANICSBURG PA 17055 u ~ I REV-1548 EX AFP (06-05) DATE 06-16-2008 ESTATE OF DLUGOLECKI PAUL S DATE OF DEATH 01-06-2008 FILE NUMBER ~(~ U rS' ~~fCs COUNTY CUMBERLAND SSN/DC ACN 08115006 APPEAL DATE: 08-15-2008 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~"> RETAIN LOWER PORTION FOR YOUR RECORDS 'E"' ------------------------------------------------------------------------------------------- REV-1548 EX AFP C03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 06-16-2008 ESTATE OF DLUGOLECKI PAUL S DATE OF DEATH 01-06-2008 COUNTY CUMBERLAND FILE N0. S.S/D.C. N0. 148-07-8768 ACN 08115006 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT DR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 7502-43 TYPE OF ACCOUNT: C )SAVINGS ( ) CHECKING C )TRUST 4OTIME CERTIFICATE DATE ESTABLISHED 06-09-1997 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 24,331.70 X 0.050 1,216.54 .00 1,216.59 X .00 .00 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 T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX GRED11 BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE ^ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. C IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF T INSTRUCTIONS. ) .00 .00 .00 .00 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES 'NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION AFPRA~SEMENT, ALLOWANCE OR DISALLOWANCE PO Box 290601 OF`~~D~~UG~'IO'NS; AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (06-05) ~'E ~~~ ,~{,;~y ~ ~ ~~` ~~: ~ ~ DATE 06-16-2008 ~^, ~! [.Fir`, fJ~ n Vfi~i ~f~~~ ti ~.~~tifl'I CASIMIR DLUGOLECK UI ",.-' ~L , t..).. ;'1a 621 MOYER RD SOUDERTON PA 18964 ESTATE OF DLUGOLECKI PAUL S DATE OF DEATH 01-06-2008 FILE NUMBER ~~_ ~_ ~C1(_ COUNTY CUMBERLAND `COUNTY CUMBERLAND SSN/DC ACN 08115007 APPEAL DATE: 08-15-2008 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS F' REV-1548 EX AFP C03-05~-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 06-16-2008 ESTATE OF DLUGOLECKI PAUL S DATE OF DEATH 01-06-2008 COUNTY CUMBERLAND FILE N0. S.S/D.C. N0. 198-07-8768 ACN 08115007 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 7502-43 TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST 4()TIME CERTIFICATE DATE ESTABLISHED 06-09-1997 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 24,331.70 NOTE: )C 0.050 1,216.59 .00 1,216.59 X .45 54.75 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 T0: "REGISTER OF WILLS, AGENT." P DATENT I NEUMBER (INTEREST/PENT PA D C-) AMOUNT PAID PAYMENT MUST BE MADE BY 10-07-2008*. TOTAL TAX CREDIT .00 BALANCE OF TAX DUE 54.75 INTEREST AND PEN. .00 TOTAL DUE 54.75 * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE DF THIS FOR CTIONS. ) BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-06D1 STASIA DLUGOLECKI 307 MONROE ST COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE _NQTIC,E OF INHERITANCE TAX AP.P;RAIS~M~Nt; ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON 9 JOINTLY HELD OR `TRUST ASSETS REV-1548 EX AFP cD6-05) ~~~~ ~llt~ ~ 3 ~~E• ~'~' DATE 06-16-2008 ESTATE OF DLUGOLECKI PAUL S DATE OF DEATH 01-06-2008 '""~'~` (~' FILE NUMBER ~~`' ' ~ ''~ L? v-~01 '~ COUNTY CUMBERLAND CU~'.rC: _ r^~~1, ~f,}., F'HSSN/DC ACN 08115010 MECHANICSBURG PA 17055 APPEAL DATE: 08-15-2008 (See reverse side under Objections) Amount Remitted ~- MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~"'> RETAIN LOWER PORTION FOR YOUR RECORDS ~ ------------------------------------------------------------------------------------------- REV-1548 EX AFP C03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 06-16-2008 ESTATE OF DLUGOLECKI FILE N0. S.S/D.C. N0. 198-07-8768 ACN 08115010 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 7502-40 TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING C )TRUST 4C )TIME CERTIFICATE DATE ESTABLISHED 11-08-2003 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: PAUL S DATE OF DEATH 01-06-2008 COUNTY CUMBERLAND 20,400.59 NOTE: X 0.050 1,020.03 .00 1,020.03 X .00 .00 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 T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE ~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIDNAL INTEREST. ^ ( IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE O FOR INSTRUCTIONS. ) .00 .00 .00 .00 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE, BUREAU OF INDIVIDUAL TAXES N07ICE'17F,INWERITANCE TAX INHERITANCE TAX DIVISION APPRA~SEMENT., }1LLD1}fANEE OR DISALLOWANCE PO BOX 280601 OF DEDJJETIOtiS,''AND'ASS`ESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (06-05) L~'~~ ~~~, ~ ,~ ~'t~'! EGA 06-16-2008 ESTATE OF DLUGOLECKI PAUL S DATE OF DEATH 01-06-2008. C! `~C'iK. U~~ _FILE NUMBER (( (~~' ' ~~ 4 ~' •'~{'~ i '~'_ ~hiBERLAND O~ ,F ~ .,L~ S l.,J~R ~OUNTY ~`'`. 1/DC CASIMIR DLUGOLECKI CL~',. ~" ACN 08115011 621 MOYER RD APPEAL. DATE: 08-15-2008 SOUDERTON PA 18964 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ------------------------------------------------------------------------------------------- REV-1548 EX AFP C03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 06-16-2008 ESTATE OF DLUGOLECKI PAUL S DATE OF DEATH 01-06-2008 FILE N0. S.S/D.C. N0. 198-07-8768 COUNTY CUMBERLAND ACN 08115011 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOLINT N0. 7502-40 TYPE OF ACCOUNT: C )SAVINGS ( ) CHECKING C )TRUST 6()TIME CERTIFICATE DATE ESTABLISHED 11-08-2003 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 20,400.59 X 0.050 1,020.03 .00 1,020.03 X .45 45.90 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 T0: "REGISTER OF WILLS, AGENT." P DATE T NEU BER (INTEREST/PEN PAID (-)I AMOUNT PAID PAYMENT MUST BE MADE BY 10-07-2008*. 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 S1, NO PAYMENT IS REpUIRED. IF TOTAL DUE IS A "CREDIT" C CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) .00 45.90 .00 45.90 ll \J~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE _~ _ ... - . BUREAU OF INDIVIDUAL TAXES ,- - ~ NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION .A'PFRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP C06-05) ~~'~~~ ~,~-`~'~ ; ~ ~~"~ ~~' ~ ~ DATE 06-16-2008 C~"<' ~ Q~S~'I~~~~~J ~~~)~'j (y CC L~ 1r f`f, F. ~ 1~~ ~`'~ STASIA DLUGD~~ECKI 307 MONROE ST MECHANICSBURG PA 17055 ESTATE OF DLUGOLECKI PAUL S DATE OF DEATH 01-06-2c,00 ~ FILE NUMBER ~~ - U p - COUNTY CUMBERLAND SSN/DC ACN 08115016 APPEAL DATE: 08-15-2008 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~' ------------------------------------------------------------------------------------------- REV-1548 EX AFP C03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 06-16-2008 ESTATE OF DLUGOLECKI PAUL S DATE OF DEATH 01-06-2008 COUNTY CUMBERLAND FILE N0. S.S/D.C. N0. 198-07-8768 ACN 08115016 TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 7502-11 TYPE OF ACCOUNT: ~ )SAVINGS 4O CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 08-09-1984 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due 5,300.31 X 0.050 265.02 .00 265.02 X .00 .00 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 T0: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ \~ ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. ~ l~\_ IF TOTA LECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND. \ L SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES '' r ~ NOTIiCE OF INHERITANCE TAX INHERITANCE TAX DIVISION AfPR~AISEMEN?, ALLOWANCE OR DISALLOWANCE PO BOX 280601 -'OF ISEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 ~ JOINTLY HELD OR TRUST ASSETS Qi I'4-{~,n~~~, r~i~RT CASIMIR DLUGOLE~~I~ ~:' ~ ~` ,yr '`n pP, 621 MOYER RD SOUDERTON PA 18964 REV-1548 EX AFP C06-05) DATE 06-16-2008 ESTATE OF DLUGOLECKI PAUL S DATE OF DEATH 01-06-2008 FILE NUMBER ~7(.-C;?~ -~~ COUNTY CUMBERLAND SSN/DC ACN 08115017 APPEAL DATE: 08-15-2008 (See reverse side under Objections) Amount Remitted ~- MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ------------------------------------------------------------------------------------------- REV-1548 EX AFP C03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 06-16-2008 ESTATE OF DLUGOLECKI PAUL S DATE OF DEATH 01-06-2008 COUNTY CUMBERLAND FILE N0. S.S/D.C. N0. 198-07-8768 ACN 08115017 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 7502-11 TYPE OF ACCOUNT: ( )SAVINGS 6() CHECKING C )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 08-09-1984 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 5,300.31 NOTE: X 0.050 265.02 .00 265.02 X .45 11.93 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 T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID PAYMENT MUST BE MADE BY 10-07-2008*. TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE ~ IF PAID AFTE R 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 . SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIDNS. ) .00 11.93 .00 11.93 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 288601 HARRISBURG PA 17128-0601 CASIMIR DLUGOLECKI 621 MOYER RD COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE -, ~ . .... ~., , ._ ,., n NOTT.C~;OF'INHERITANCE TAX APPIjAIBENENT3 ALLOWA7JCE OR DISALLOWANCE OF DEDUCTIONS, AND-ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (86-05) " "' "" ~a',°'1i~: $/~TE 06-16-2008 ESTATE OF DLUGOLECKI PAUL S DATE OF DEATH 01-06-2008 f~j U~t~ Q~ FILE NUMBER ll C~v~{~1 ;,i,~~1 ".." ~ ~~~I }~,~ COUNTY CUMBERLAND ~~ ~ ,~5 ~, ..; ~f SN/DC CL`~'~. ~' [ ,.~~~~„ ~'acN os115o21 SOUDERTON PA 18964 APPEAL DATE: 08-15-2008 (See reverse side under Objections) Amount Remitted ~- -~ MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ------------------------------------------------------------------------------------------- REV-1548 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 06-16-2008 ESTATE OF DLUGOLECKI PAUL S DATE OF DEATH 01-06-2008 COUNTY CUMBERLAND FILE N0. S.S/D.C. N0. 198-07-8768 ACN 08115021 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 7502-00 TYPE OF ACCOUNT: 4C )SAVINGS C ) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 09-01-1964 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 74,677.58 NOTE: X 0.050 3,733.88 .00 3,733.88 X .45 168.02 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 T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID PAYMENT MUST BE MADE BY 10-07-2008*. TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE * IF PAID AFTE R TH IS DATE, SEE REVERSE FOR CA ADDITIONAL INTEREST. ~ C IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) .00 168.02 .00 168.02