HomeMy WebLinkAbout01-30-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES NUTICE OF INHERITANCE TAX ,
INHERITANCE TAX DIVISION APPRAISEMENT,, ALLOWANCE OR DISALLOWANCE
Po BOX 260601 OF IIEDUCTIONS, :AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 - JbINTLY HELD OR TRUST ASSETS REV-1548 EX AFP C12-08)
DATE 01.-27-2009
~~.~'`~ ~i~?~ ~tj ~~~ ~j; ~~STATE OF ZAGORIC DAVID R
ATE OF DEATH 07-29-2008
FILE NUMBER 21. 08-0832
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LFh~,"t ~,_;- COUNTY CUMBERLAND
EMILY ZAGORIC O~~H`5 ~~ ' ~ ~~i~T SSN/DC
~iL~~t'~?' ~ :7 n ACN 08135638
149 NORTH 25TH STREET '~~~ APPEAL DATE: 03-28-2009
CAM P H I L L PA 17 011 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND C:0 COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1548 EX AFP C12-08)--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 01-27-2009
ESTATE OF ZAGORIC DAVID R DATE OF DEATH 07-29-2008 COUNTY CUMBERLAND
FILE N0. 21 08-0832 S.S/D.C. N0. 198-18-1076
ACN 08135638
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 27230-00
TYPE OF ACCOUNT: 4C )SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 05-28-1981
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
628.13 NOTE:
X 0.166
104.69
.00
104.69
X .00
.00
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
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDIT IONAL INTEREST.
IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REpUIRED.
IF TOTAL DUE IS REFLECTED AS A "C , YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
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