HomeMy WebLinkAbout03-06-09 (3)COMMONWEALTH OF PENNSYLVANIA
DEPART,t~ENT OF REVENUE
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BUREAU OF INDIVIDUAL TAXES ~ ~'~'I~AISEME ,
INHERITANCE TAX DIVISION ~~~ , ;N,"[v':._ALLOWANCE OR DISALLOWANCE
PO BOX 280601 "0'F''~'I~UCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17126-0601 JOINTLY HEL OR TRUST ASSETS REV-1548 EX AFP (01-09)
~(~(j~ A~ "6 P~ 12~ 5~ DATE 03-09-2009
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THOMAS DLUGOLECKIC~-~h `~ ~ ,',,
1413 EUCLID AVE
SAN DIEGO CA 92105
ESTATE OF DLUGOLECKI PAUL S
DATE OF DEATH 01-06-2008
FILE NUMBER 21 08-0496
COUNTY CUMBERLAND
SSN/DC
ACN 08115008
APPEAL DATE: 05-08-2009
(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 ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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REV-1548 EX AFP CO1-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 03-09-2009
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 08115008
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 7502-43
TYPE OF ACCOUNT: C )SAVINGS ( ) CHECKING C )TRUST 4C )TIME CERTIFICATE
DATE ESTABLISHED 06-09-1997
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
24,331.70 NOTE:
X 0.050
1,216.59
.00
1,216.59
X .45
54.75
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
INTEREST IS CHARGED THROUGH 03-17-2009 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE DF TAX DUE 54.75
REVERSE SIDE OF THIS FORM INTEREST AND
OTAL DUE 56.22 -~~
^ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. * ~
C IF TOTAL DUE IS LESS THAN S1, 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 INSTRUCTIDNS. )