HomeMy WebLinkAbout09-02-05
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BUREAU OF INDIVlllUAi:~fA>tE$! U' ;':""'~
INHERITANCE TAX DIYIS~.
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPA~TMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE DR DISALLOWANCE
.~ OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD DR TRUST ASSETS
*'
REY-1548 EX AFP (06-05)
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09-05-2005
CHOMICKI
04-20-2005
21 05-0693
CUMBERLAND
157-09-5164
05134773
APPEAL DATE: 11-04-2005
(See reverse side under Objections)
AmDunt Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
GENEVIEVE M
(~i
~
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN,DC
ACN
GENEVIEvt A DELOZIER
1297 LETCHWORTH RD
CAMP HILL PA 17011
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS _
REY=is4s-Ex-AFP-Io3=osi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEM~T, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 09-05-2005
ESTATE OF CHOMICKI
GENEVIEVE M DATE OF DEATH 04-20-2005
COUNTY
CUMBERLAND
FILE NO. 21 05-0693
TAX RETURN WAS:
S.S/D.C. NO. 157-09-5164
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05134773
FINANCIAL INSTITUTION: PNC BANK
ACCOUNT NO.
5140010342
TYPE OF ACCOUNT: ()SAVINGS Q() CHECKING (>TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 08-16-1999
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
1,487.62
0.500
743.81
.00
743.81
.45
33.47
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 TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (- )
08-02-2005 CD005647 .00 33.47
TOTAL TAX CREDIT 33.47
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 PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRI, YDU HAY BE DUE A REFUND.
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