HomeMy WebLinkAbout12-17-08 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF,-INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES pppRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION OF DEAUCTIONS, AIJD ASSESSMENT OF TAX ON
PO BOX 280601 REV-1548 EX AFP (06-05)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
-1 12-15-2008
~~%~ ~k-~' ~ ! ~ ~~~ ~~STATE OF DLUGOLECKI PAUL S
DATE OF DEATH 01-06-2008
~-,i-_1:! ;,;1= FILE NUMBER 21 08-0496
Ct~~`,~C.I ,'Y. ,`J`~~ J~r COUNTY CUMBERLAND
PAUL DLUGOLECKI CUM~~ ~ ~ ~^~ ~ p~ ACN DC
APPEAL DATE: 02-13-2009
303 MONROE ST
MECHANICSBURG PA 17055 (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 ADATES 12-15-2008
ESTATE OF DLUGOLECKI PAUL S DATE OF DEATH 01-06-2008 COUNTY CUMBERLAND
ACN 08115005
FILE N0. 21 08-0496 S.S/D.C. N0. 198-07-8768
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: C )SAVINGS ( ) CHECKING C )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
0.050
328.39
_ .00
328.39
.45
14.78
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-)
10-07-2008 CD010368 .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."
AMOUNT PAID
14.78
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
^ IF PAID AFTER THIS DATEr SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
ccFTREVERSEESIDEROFLTHISDFORMAFORRINSTRUCTIONS,YOU MAY BE DUE A REFUND.
14.78
.00
.00
.00
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