HomeMy WebLinkAbout10-07-11 (2)BUREAU OF INDIVIDUAL TAXESi~ '~ •'~~'p ~ICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~ ~ ~ `APWR~FS'~MENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601
HARRISBURG PA 1 7128-0601 r ~ ~ ~~DIF~TIONS, AND ASSESSMENT OF TAX DN
_ ,v ~ ~~~ 4 ~ ~ ~~ INTLY HELD OR TRUST ASSETS
Pennsylvania
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
., ., '~ `~ ~i"i ~~ N; ~Y DATE 10-10-2011
ESTATE OF SZAJEK
DATE OF DEATH 01-22-2011 JOSEPH p
C~~~~ i~!r FILE NUMBER 21 11-0355
O~~H~~~~
JOEL A CO~~T COUNTY CUMBERLAND
SZAJ~~M~~~~~pt~~ ~,~~ P~'i
1014 SOUTHFIELD SSN/DC 196-05-1899
ACN
CT
HARRISBURG PA 17.111 11156143
APPEAL BY DATE:12-09-2011
(See reverse side under Ob
i
ject
ons)
Amount Reoitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE y RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1648 EX AFP C12-10)---~-"- " -'----------------
----------------------- _____
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 10-10-2011
ESTATE OF:SZAJEK
JOSEPH P DATE OF DEATH:O1-22-2011
FILE NO.: COUNTY: CUMBERLAND
21 11-0355 S.S/D.C. NO.:
196-05-1899
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED ACN: 11156143
FINANCIAL INSTITUTION: SOVEREIGN BANK OR TRUST ASSET INFORMATION
TYPE OF ACCOUNT: C )SAVINGS C)U CHECKING ( )TRUST (C )O IME CERTIFICATE19325
DATE ESTABLISHED 12-10-2009
Account Balance
Percent Taxable 1,518.31 NOTE: TO ENSURE PROPER CREDIT TO
X 0.500
Amount Subject to Tax YOUR ACCOUNT
Debts and Deductions - 759.16 , SUBMIT THE
UPPER PORTION OF THIS NOTICE
Taxable Amount .00 WITH YOUR TAX PAYMENT TO THE
Tax Rate 759.16 REGISTER OF WILLS AT THE
Y 15
Tax Due ABOVE ADDRESS.
113.87 MAKE CHECK
OR MONEY ORDER PAYABLE T0:
TAX CREDITS: "REGISTER OF WILLS, AGENT.'
PAYMENT RECEIPT
DATE NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
PAYMENT MUST BE MADE BY 10-23-2011*.
TOTAL TAX PAYMENT
BALANCE OF TAX DUE •00
INTEREST AND PEN. 113.87
TOTAL DUE •00
113.87
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.