HomeMy WebLinkAbout12-17-08 (4)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEUUCZ'IONS'~, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (06-05)
~~~~i ~!'°_~:.r ~'~ ~", ~~: ~$ DATE 1.2-15-2008
ESTATE OF DLUGOLECKI PAUL S
. _ DATE OF DEATH 01-06-2008
^ 1. ir''' FILE NUMBER 21 08-0496
{~~~'~' ~~~ "~ COUNTY
C'~~~~~`' cJ ` ~~;~Z~Q SSN/DC
PAUL DLUGOLECKI C~~;`~'!' __ - ACN 08115013
303 MONROE ST
MECHANICSBURG PA 17055
APPEAL DATE: 02-13-2009
(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 ALDNG 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 12-15-2008
ESTATE OF DLUGOLECKI PAUL S DATE OF DEATH 01-06-2008 COUNTY CUMBERLAND
FILE N0. 21 08-0496 S.S/D.C. N0. 198-07-8768
ACN 08115013
iAx Ktt-URN 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 ( )TRUST 4C )TIME CERTIFICATE
DATE ESTABLISHED 11-08-2D03
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
20,400.59 NOTE:
X 0.050
1,020.03
.00
1,020.03
X .45
45.90
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
10-07-2008 CD010371 .00 45.90
12-08-2008 SBADJUST 00
. .O1
IUTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
C IF TO ESS THAN $1, 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. )
45.90
.00
.00
.00