HomeMy WebLinkAbout03-26-10;.,,, ..: E ~,~ ~,..
BUREAU OF INDIVIDUAL TAXES ' ~ ~':t (OTICE Pennsylvania
OF INHERITANCE TAX ~
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ,-;;.., APP'Ft~AI$~MENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 '~~~'' -' - L-'OF DEDUCTIONS , AND ASSESSMENT OF TAX ON ~ ', REV-].548 EX AFP C12-09)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
~~~~ ,~,~ ~~} ~~'~ ~~: ^~ j DATE 03-29-2 10
ESTATE OF KOZLOWS I FELIX
DATE OF DEATH 10-07-2 09
C~~~~~ (~~ FILE NUMBER 21 10-0 X99
QRPr;~._'`,~ ` (~'~_~~~T COUNTY CUMBERL ND
~ ~,~`-~ ~ _ ~ ~'~ n~
~ SSN/DC 097-12- 905
SANDRA CR0
~1 ~ ~ ~ ' ' ACN 0916813
18 CUMBERLAND ESTATES APPEAL BY DATE:05 28-2010
DRIVE (See reverse side under O jections)
MECHANICSBURG PA 17050 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS
REV-1548 EX AFP C12-09~-----------------------------------------------~--------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANC OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSET
DATE: 0 -29-2010
ESTATE OF:KOZLOWSKI FELIX DATE OF DEATH:10-07-2009 OUNTY:CUMBERLAND
FILE NO.: 21 10-0199 S.S/D.C. NO.: 097-12-8905 ACN: 09168133
TAX RETURN WAS: CX~ ACCEPTED AS FILED C ~ CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 18 035-00
TYPE OF ACCOUNT: C ~ SAVINGS C ) CHECKING C TRUST C )TIME CERTIFIC TE
DATE ESTABLISHED 02-20-1999
Account Balance 6,835.48 NOTE: TO ENSURE~IPROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCO NT, SUBMIT THE
Amount Subject to Tax 3,417.74 UPPER POR ION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 3,417.74 REGISTER F WILLS AT THE
Tax Rate Y .45 ABOVE ADD ESS. MAKE CHECK
Tax Due 153.80 OR MONEY RDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
03-01-2010 CD012407 .00 153.80
TOTAL TAX PAYMEN
BALANCE OF TAX D
INTEREST AND PEN
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
153.80
.00
.00
.00
~M
-.~-.ter n-, i;"`r- , •~-
~., ~. ._ ,
~ NOTICE Pennsylvania
OF I ~
~.,
BUREAU OF INDIVIDUAL TAXES NHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION i-' " APFtRAISEMENT,
±,
; •
"t •.
,
, ,
~ ALLOWANCE OR DISALLOWANCE
_
_
...
`
,
PO BOX 280601 ~
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON ~ REV-1.548 EX AFP C12-09)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS I
i '
~~~ ~ 2~ ~ ~~" ~ ~
DATE 03-29-2 10
ESTATE OF KOZLOWS I FELIX
~~,i, ~r
~{
T
' DATE OF DEATH 10-07-2 09
`--
~'~
~-'`
~~T
11
~+'1 '` '
(}3~P{~ FILE NUMBER 21 10-0
COUNTY 99
,
~
~
~' ~" ~` `'•~j
U CUMBERL
SSN/DC 097-12- ND
905
SANDRA C~
ONIN
ACN 0916813
18 CUMBERLAND ESTATES APPEAL BY DATE:05 28-2010
DRIVE (See reverse side under O jections)
MECHANICSBURG PA 17050 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS
REV-1548 EX AFP C12-09~------- ----------------------- ----------------- ~--------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANC OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSET
DATE: 0 -29-2010
ESTATE OF:KOZLOWSKI FELIX DATE OF DEATH:10-07-2009 OUNTY:CUMBERLAND
FILE NO.: 21 10-0199 S.S/D.C. NO.: 097-12-8905 ACN: 09168134
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 18 035-11
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFIC TE
DATE ESTABLISHED 02-20-1999
Account Balance 405.35 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCO NT, SUBMIT THE
Amount Subject to Tax 202.68 UPPER POR ION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 202.68 REGISTER F WILLS AT THE
Tax Rate x .45 ABOVE ADD ESS. MAKE CHECK
Tax Due 9.12 OR MONEY RDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
03-01-2010 CD012407 .00 9.12
TOTAL TAX PAYMEN
BALANCE OF TAX D
INTEREST AND PEN
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
9.12
.00
.00
.00