HomeMy WebLinkAbout12-17-08 (5)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRA~SEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 0F' DE~SUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP C06-05)
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`lfjE;~ ~?~~, ~ ~ ~~ ~;:•' ~ DATE 12-15-2008
((~~.I~ ~~,-
PAUL DLUGOLEC"KY~~" - ~•'~~`,
303 MONROE ST
MECHANICSBURG PA 17055
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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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
FILE N0. 21 08-0496
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 7502-11
ESTATE OF DL_UGOLECKI PAUL S
DATE OF DEATH 01-06-2008
FILE NUMBER 21 08-0496
COUNTY CUMBERLAND
SSN/DC
ACN 08115019
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
PAUL S DATE OF DEATH 01-06-2008 COUNTY CUMBERLAND
S.S/D.C. N0. 198-07-8768
ACN 08115019
TYPE OF ACCOUNT: ( )SAVINGS 4C) CHECKING C )TRUST C )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 .45
11.93
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
10-07-2008 CD010370 .00 11.95
TOTAL TAX CREDIT 11.95
BALANCE OF TAX DUE .02CR
INTEREST AND PEN. .00
TOTAL DUE .02CR
i,
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
C IF TOTAL DUE IS LESS THAN 51, NO PAYMENT IS REQUIRED.
IF TDTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )