HomeMy WebLinkAbout10-07-05
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
nc:rYir:J!lQl;~C,E.,;9F,r,JN~ITANCE TAX
A~PRAtSEHSNT~'iAl~QwANCE OR DISALLOHANCE
OFD~bUCTIONS; AND, ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
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1./1':,;
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MARY L CENTOLA
161 CHESTER ST
CARLISLE PA 17013
~.. DATE 10-10-200S
l'li I: 2risTATE OF lESNESKI MARV
DATE OF DEATH 11-29-2004
FILE NUMBER 21 OS-0747
COUNTY CUMBERLAND
SSN/DC 033-18-4688
ACN OS12188S
APPEAL DATE: 12-09-200S
(See reverse side under Ohjections)
""'Dunt R..1tted C .J
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE~ PA 17013
REV-1548 EX AFP (06-05)
ESTATE OF LESNESKI
MARY
CUT ALONG TMIS lINE - RETAIN lONER PORTION FOR YOUR RECORDS _
REV:iS4i-EX-AFP-i03:0Si--_____________________________-------------------------------------
NOTICE OF INMERITANCE TAX APPRAISENENT, AllONANCE OR DISAllONANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTlV MELD OR TRUST ASSETS
DATE 10-10-200S
DATE OF DEATH 11-29-2004
S.S/D.c. NO. 033-18-4688
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION, FRANKLIN COUNTY TEACHERS CREDI ACCOUNT NO.
FILE NO. 21 OS-0747
TAX RETURN WAS:
COUNTY
CUMBERLAND
ACN
OS12188S
TVPE OF ACCOUNT, ~ 'SAVINGS (, CHECKING ('TRUST ('TIME CERTIFICATE
DATE ESTABLISHED 12-06-2002
ACCount Balance
Percent Taxable
Amount SUbject to Tax
Debts and Deductions
raxable Amount
ax Rate
'ax Due
x
99~S43.82
O.SOO
49 ~ 771. 91
8S0.00
48~921.91
.4S
2~201.48
-
-
x
AX CREDITS:
76930-01
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."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
8-16-200S CDOOS71S .00 2~201.48
TOTAL TAX CREDIT 2~201.48
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
[F PAID AFTE. TNIS DATE, SEE 'EVERSE FD. CALCULATION DF ADDITIONAL INTE'EST. .
[F TOTAL DUE IS LESS THAN $l~ NO PAYMENT IS REQUIRED.
:F TOTAl OUE IS 'EFlECTED AS A "C'EDn" ( CR>, YOU HA. BE OUE A .EF.....
:EE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )