HomeMy WebLinkAbout12-17-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES pppRAISEMEM7, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION
PO BOX 288601 OF D'EDOC~TIONS, AND ASSESSMENT OF TAX DN
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (06-05)
~j'E~~ r~~ ~ ~ ~'~`f 12' ~J9 DATE 12-15-2008
`~ `t
CHRISTOPH J SEMANCIK ~ 5 ~
4943 WATERFALL DR
MACUNGIE PA 18062
ESTATE OF SEMANCIK JOSEPH
DATE OF DEATH 07-12-2008
FILE NUMBER 21 08-1002
COUNTY CUMBERLAND
SSN/DC 188-38-9627
ACN 08133800
APPEAL DATE: 02-13-2009
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND (:0 COURT HOUSE
CARLISLE, PE1 17013
G
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 12-15-2008
ESTATE OF SEMANCIK JOSEPH G DATE OF DEATH 07-12-2008 COUNTY CUMBERLAND
FILE N0. 21 08-1002 S.S/D.C. N0. 188-38-9627
ACN 08133800
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: HARLEYSVILLE NB 8~ TC ACCOUNT N0. 2399
TYPE OF ACCOUNT:; C )SAVINGS 4O CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 11-29-1991
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
8,127.21
X 0.166
1,354.56
.00
1,354.56
X .45
60.96.
NOTE: TO INSURE PROPER CREDIT TO
YOIJR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
AB~DVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
10-06-2008 CD010383 3.05 57.91
BALANCE OF TAX DUE
_ INTEREST AND PEN.
TOTAL 1DUE
* 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" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIRE OF THIS FORM FOR INSTRUCTIONS. )
60.96
.00
.00
.00