HomeMy WebLinkAbout06-05-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES -~~, .NDTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION - `ri ` 1A~'I~R~[ISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 r `'`~t, ~ OF,~BEAUCTIONS, AND ASSESSMENT OF TAX ON
HARRiSBURG PA 17128-0601 =~ ~ ~ ~ 'u ~ ~ ~ ~ •,1OINTLY HELD OR TRUST ASSETS
2009 JUN -5 AM { { ~ 3 t~
CLER'r< ~r
P#~A~~!'S '~DU#~T
SVETLANA BU
1708 KENT RD
CAMP HILL PA 17011
REV-1548 EX AFP (01-09)
DATE 06-08-2009
ESTATE OF BUCHEK DAVID P
DATE OF DEATH 10-09-2008 N~
FILE NUMBER Qq' 0~3°L
COUNTY U BE LA D
SSN/DC 168-28-7797
ACN 09109908
APPEAL DATE: 08-07-2009
(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 SINE '~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
-------------------------------------------------------------------------------------------
REV-1548 EX AFP COl-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-08-2009
ESTATE OF BUCHEK DAVID P DATE OF DEATH 10-09-2008 COUNTY CUMBERLAND
FILE N0.
S.S/D.C. N0. 168-28-7797
ACN 09109908
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BK NA ACCOUNT N0. 247402053493494
TYPE OF ACCOUNT: C )SAVINGS ( ) CHECKING C )TRUST 4()TIME CERTIFICATE
DATE ESTABLISHED 07-01-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
7,115.45
X 1.000
7,115.45
.00
7,115.45
X .00
.00
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 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 ADDITIONAL INTEREST.
C IF TOTAL DUE IS LESS THAN tl, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~~~ -~~-~'-~q'CL~E OF INHERITANCE TAX
INHERITANCE TAX DIVISION 1`rAP~RAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOl( 280601 ~`_~ ;~,d~~, DEDU~QTIQNS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
209 JUG -5 APB ! 1 ~ 3 ~+
C~~R~ CF
OR~H!~,N~S COI~~T
SVETLANA BUCHEK G'u?~`~~^~-',!_'"•.,"'r''_~` ~..~~., P1a,
1708 KENT RD
CAMP HILL PA 17011
REV-1548 EX AFP CO1-09)
DATE 06-08-2009
ESTATE OF BUCHEK DAVID P
DATE OF DEATH 10-09- 008 r/
FILE NUMBER a~-0~1~~~3°L
COUNTY CUMBERL
SSN/DC 168-28-7797
ACN 09109909
APPEAL DATE: 08-07-2p09
(See reverse side under Objections)
Amount Remitted r
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 0~5-08-2009
ESTATE OF BUCHEK DAVID P DATE OF DEATH 10-09-2008 COUNTY CUMBERLAND
FILE N0.
S.S/D.C. N0. 168-28-7797
ACN 09109909
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BK NA ACCOUNT N0. 247402053493547
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST OC)TIME CERTIFICATE
DATE ESTABLISHED 07-01-2008 ,
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
10,115.45
X 1.000
10,115.45
_ .00
10,115.45
X .00
.00
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 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 ADDITIONAL INTEREST. ^
( IF TOTAL DUE IS LESS THAN 31, 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. )
^
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~~^~^~^r' ~ ~'^~'''~O,i,ICE OF INHERITANCE TAX
INHERITANCE 7AX DIVISION I ~ AF~kATS'EME'NT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 f° ~~„ ~ ~, P~ DQ~UC1'~ONS, AND ASSESSMENT OF TAX ON
H1IRRISBUR6 PA 17128-0601 'JDT'NTLY HELD OR TRUST ASSETS
2Q09 JUIy -S AH I I ~ 34
CLERK OF
ORPH,~,~•!'S COUR?
SVETLANA BUCH~~PPa~`-`~r,,''~ ;r) r`i` ~A
1708 KENT RD
CAMP HILL PA 17011
REV-1548 EX AFP COl-09)
DATE 06-08-2009
ESTATE OF BUCHEK DAVID P
DATE OF DEATH 10-09-2008
FILE NUMBER ~i--~~~~ZI 'CY'~-DY3eL
COUNTY CUMBERLA D
SSN/DC 168-28-7797
ACN 09109910
APPEAL DATE: 08-07-2009
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HQUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS 4"'
-------------------------------------------------------------------------------------------
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 06-08-2009
ESTATE OF BUCHEK DAVID P DATE OF DEATH 10-09-2008 COUNTY CUMBERLAND
FILE N0.
S.S/D.C. N0. 168-28-7797
ACN 09109910
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BK NA ACCOUNT N0. 247402053434612
TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING C )TRUST 4()TIME CERTIFICATE
DATE ESTABLISHED 06-23-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
10,124.65
X 1.000
10,124.65
.00
10,124.65
X .00
.00
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
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADD
( IF TOTAL DUE IS LESS THAN fl, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR). YOU MAY BE D
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
ITIONAL INTEREST. * t `'
UE A REFUND. U
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
.~'' ~ ~-_ ~ ^i `-,~^rN@TICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES r '-A~P~RAI'SE~IENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIYISION -
PO BOX 280601 ~ QF;-D~DUC"CIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ~-~ ~~ ~ `~~ ~ ~OTNTLY HELD OR TRUST ASSETS
2119 JUPd -5 AM i I ~ 34
CLARK of
oR~~.~~~s couRT
SVETLANA BUCH~~~?~.!`-'-!_;'~,j~i~ ~;T1., P~.
1708 KENT RD
CAMP HILL PA 17011
REY-1548 EX AFP CO1-09)
DATE 06-08-2009
ESTATE OF BUCHEK DAVID P
DATE OF DEATH 10-09- 008
FILE NUMBER p2~~Dq^Oy3~
COUNTY C BER AN
SSN/DC 168-28-7797
ACN 09109911
APPEAL DATE: 08-07-2D09
(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 COl-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE Ob-08-2009
ESTATE OF BUCHEK DAVID P DATE OF DEATH 10-09-2008 COUNTY CUMBERLAND
FILE N0. S.S/D.C. N0. 168-28-7797 ACN 09109911
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BK NA ACCOUNT N0. 247402D53434659
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST 6()TIME CERTIFICATE
DATE ESTABLISHED 06-23-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
10,124.65
X 1.000
10,124.65
.00
10,124.65
X .00
.00
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
TOTAL TAX CREDIT .uu
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN #1, 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. )
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES - L "NQTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~A~RRAISE~FENT, ALLOWANCE bR DISALLOWANCE
PO BOX 28D6D1 ~ ~ ~~"~ `~ `0~`; DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-06D1 JDINTLY HELD OR TRUST ASSETS REV-1548 IX AFP (01-09)
~~~g .~«~ -S ~~ ~~' 3~ DATE 06-OB-2009
CLERK OF
ORPN~~',~ C~JIJR''
CORAL SHAMB
1736 MAIN ST
MECHANICSBURG PA 17055
ESTATE OF JONES EVELYN L
DATE OF DEATH 06-12-2008
FILE NUMBER ~,~.-QO~ ~~'3~
COUNTY CUMBERLA D
SSN/DC 2D1-18-3094
ACN 08139135
APPEAL DATE: 08-07-2009
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMfT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE '~'~ RETAIN LOWER PORTION FOR YOUR RECORDS 4""
-------------------------------------------------------------------------------------------
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 Od-08-2009
ESTATE OF JONES EVELYN L DATE OF DEATH 06-12-2008 COUNTY CUMBERLAND
FILE N0. S.S/D.C. M0. 201-18-3094 ACN 08139135
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: FULTON BANK ACCOUNT N0. 0004-38561
TYPE OF ACCOUNT: C )SAVINGS 6() CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 12-27-2001
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
3,441.55
X 0.166
573.60
.00
573.60
X .45
25.81
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTIOW 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
LI~ICRCJI iJ 411AKbtU 11'1KUUGF: U6-16-ZUUY
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDI
C IF TOTAL DUE IS LESS THAN 41, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DU
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 25.81
INTEREST AND PEN. .34
TOTAL DUE 26.15 ,
TIONAL INTEREST. ~
E A REFUND.