HomeMy WebLinkAbout08-01-05
STELLA J PLACZEK
2100 BENK CREEK BLVD
MECHANICSBURG PA 17050-1835
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
P~COt\i~~ Q;~~"''fTANCE TAX
APP~i$E~~~'Al~~A~E OR DISAllDWANCE
OF DED.rC1'tllNS / 'AND ~ASSESSI1ENT DF TAX ON
~ JOINTlY HELD OR TRUST ASSETS
2005 WG -I Pfl12: DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
~SSN/DC
ACN
'*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BDX 280601
HARRISBURG PA 17128-0601
REY-1548 EX AFP (06-05)
CLE:Ci\
O,DD~.'" I'"~
,:, "
CU" ~
08-01-2005
AUGUSTYN
03-18-2005
21 05-0596
CUMBERLAND
129-07-7909
05128242
APPEAL DATE: 09-30-2005
(See reverse side under Objections)
Amount ReRittedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TEDDY
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS .....
REY=is4S-EX-AFP-r03=Osi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 08-01-2005
ESTATE OF AUGUSTYN
TEDDY
DATE OF DEATH 03-18-2005
COUNTY
CUMBERLAND
FILE NO. 21 05-0596
TAX RETURN WAS:
S.S/D.C. NO. 129-07-7909
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05128242
FINANCIAL INSTITUTION: SUSQUEHANNA BANK PA
ACCOUNT NO.
1046504906
TYPE OF ACCOUNT: ()SAVINGS ex) CHECKING (>TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 07-13-1998
Account Balance
Percent Taxable X
Amount Subject to Tex
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
17,822.33
0.166
2,970.45
.00
2,970.45
.15
445.57
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
DR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
~.
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
PAYMENT MUST BE MADE BY 12-19-2005~. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 445.57
INTEREST AND PEN. .00
TOTAL DUE 445.57
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ·
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRI, YOU HAY BE OUE A REFUND.
~~E DEU~~~ ~TnF OF THIS FORM FOR INSTRUCTIONS. )