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HomeMy WebLinkAbout09-18-08REV-1470 EX (6-88) DECE 2108-0494 KtVICVVCV 6T MICHAEL KODOSKY IH~~~ 08106459 SCHEDULE EXPLANATION OF CHANGES The claimed deduction for the Golden Living Center nursing home bill in the amount of $1,152.80 has been disallowed. A fetter requesting a copy of the bill for this expense had been sent out to you on May 27 and you were to respond back by June 13, 2008. There has been no response to this letter from you as of September 5, 2008. An adjustment has been made to reflect this change. i~,e_ ",ue~e~ f~ A~e~F c~ "~ ~,~ _? ~. °-. f.~-. _. ~ T., ~:i .1 ~~/.' i~ -~ ) .,.1 l.._ `J ""f .+~" ORIGINAL COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box 280601 INHERITANCE TAX EXPLANATION OF CHANGES ANN T. DRAGOVAN ~v~r~~ -.> t:.~ I~ lU -•.! Page 1 CC Page 1 of 1 aNnra oRACavaN os-a2 ~,~6~~~ 18 7 3 JOANNE KOSTELAC 8 CfJNVYAY DRIVE Q MECHANIGSBI}RG. PA 17055 DATE 5 _ _ ~y PAY TO THE „ "~ i ~ `~l ~/~f~ ORDER OF - - pd pp ~~ r ' DOLLARS U ~ ... ©M~T,Bank MEMO ` ~:0 3 130 ~9 5 5~: X909 i4 9~~' 1g 7 3 <<~p000 L 15 2B0,~' j ;~ F~ ~~~ ~'' ~` o ~, -~ -:: mZ~'°-o f:~~ Ct~'~ Gvr: ~ Cif ~r Via! f1~r ~_~ ~~.?i~!i i ;. i:.~,. ~ ,~?~. t* Y ~ - ,ti1 V3 - - L3 . - - - - _• ~ . _ _ ..._ .. ~ .. ._ .._ .. f~ Posting Date Research Seq # Account # Check/Store # DB/CR Dollar Amount Bank # Branch # Deposit Acct # Record Type # 2007 Dec 17 1500276564 29091489 1873 DB $1,152.80 096 06117 14567986 O1 http://pc-ncrwebl .mandtbank.com/inquiry/servlet/inquiry 9/15/2008 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION Po Box zaosol HARRISBURG PA 17128-0661 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS JOANNE A KOSTELAC 8 CONWAY DR MECHANICSBURG PA 17055 REV-1548 EX AFP (06-05) DATE 09-15-2008 ESTATE OF DRAGOVAN ANNA T DATE OF DEATH 11-24-2007 FILE NUMBER 21 08-0494 COUNTY CUMBERLAND SSN/DC ACN 08106459 APPEAL DATE: 11-14-2008 (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 (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 09-15-2008 ESTATE OF DRAGOVAN FILE N0. 21 08-0494 ANNA T DATE OF DEATH 11-24-2007 COUNTY CUMBERLAND S.S/D.C. N0. 179-10-5895 ACN 08106459 TAX RETURN WAS: C ) ACCEPTED AS FILED CX) CHANGED SEE ATTACHED NOTICE JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: M8~T BANK ACCOUNT N0. 29091489 TYPE OF ACCOUNT: ( )SAVINGS 4O CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 06-28-1982 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 5,804.25 X 0.500 2,902.13 260.00 2,642.13 X .12 317.06 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 C-) AMOUNT PAID 04-14-2008 CD009652 .00 178.72 INTEREST IS CHARGED THROUGH 09-23-2008 TOTAL TAX CREDIT 178.72 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 138.34 REVERSE SIDE OF THIS FORM INTEREST AND PEN. .80 TOTAL DUE 139.14 * IF PAID AFTER THIS DATE, SEE REVERSE FOR CAL ADDITIONAL INTEREST. C 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. . :~ ~ ~. ~ "~ ~G :~ ~:~ xi„ ,~ -_ r T V1 h 0 v d ~ a. o0 o , ~ `-' x <A Q ~•.~ ~ a R c s c `~ ~-, ~ ,i D d ~ _ ~`" cv ~ ~r '~ c~ ~ r _F~ t+# ,. ~~! ;:., ,.~~ 41„ u~}