HomeMy WebLinkAbout03-06-09 (4) COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL
INHERITANCE TAX DIYISION TAXES NOTICE OF INHERITANCE TAX
/4FrPle`A~~E''N~t
{~,fLEflWANCE OR DISALLOWANCE
PO BOX 280601 .{
O~~"~p~`I`~O~S., gNDsASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ~w.~71~~~~ FII:'L.A_dR TRUST ASSETS REV-1548 EX AFP CO1-09)
DATE 03-09-2009
~~~~ ~~R _~ ~~ !Z; ~~STATE OF DLUGOLECKI PAUL S
DATE OF DEATH 01-06-2008
FILE NUMBER 21 08-0496
(~L~~~( (~j COUNTY CUMBERLAND
~ COJRT SSN/DC
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THOMAS
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DLUGOLECKI ORFH~i
pAACN 08115
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413 EUCLID ,
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AVE
05
08-2009
APPEAL DATE:
SAN D I EGO CA 92105 (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 ~
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
FILE N0. 21 08-0496 S.S/D.C. N0. 198-07-8768
COUNTY CUMBERLAND
ACN 08115012
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 7502-40
TYPE OF ACCOUNT: C )SAVINGS ( ) CHECKING C )TRUST 6C )TIME CERTIFICATE
DATE ESTABLISHED 11-08-2003
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
20,400.59
X 0.050
1,020.03
.00
1,020.03
X .45
45.90
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."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
i~~ ~ CRGJ 1 1J VAN Rl7CU I I'1RUUbl'7 UJ- 1 / -LUUY
AT THE RATES AP OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 45.90
INTEREST AND PEN. 1.24
TOTAL DUE 47.14 ~'`
~ 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 INSTRUCTIONS. )