HomeMy WebLinkAboutOC1971-0389 - ESTATE OF KISELOWFeC-43 (5-65)
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..
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
HARRISBJRG
.January 21.19'-11
Jf
:~%:I~)~o,J/r
5~~.~
NOTE:TO BE SUBMITTED IN TRIPLICATE
Pennsylvania Department of Revenue
Bureau of County Collections
26 S.4th Street
Harrisburg,Pennsylvania
.Dear Sir:
Pursuant to Section 742,Pennsylvania Inheritance and Estate Tax Act of 1961,
we herewith submit the following report:
NAME OF REPORTING
FINANCIAL INSTITUTION .j,~.'tQ'~l :BeAll:',~.C~l........~.....-,-..,-~-~,
ADDRESS 1 Wa$f.Ps;k.e .treatieA~&1~g,:J!a..1S31:1ACCOUNTNO.OF JOINT,...~.......'.
TRUST OR INVESTMENT DEPOSIT SBvf'ng·sAcet.I72IR
~~~~~~~T~~~~UNT ~a~~'-a'6.ep.I!l lawlh
/
ADDRESS Tbt#(1'.st~s i9llst.~,.·Pa,'lS~
DATE OF DEATH JGR'QQl'i"10,19"J1,.
SURVIVING DEPOSITOR,.
BENEFtCIARY OR INVESTOR ..*.le$eph ••~el.
RELATIONSHIP TO DECEDENT ...a;3~o•.,..,•..-,--_
DATE DEPOSIT OR INVESTMENT
WAS ESTABLISHED -------'~_~rl~L---------I
BALANCE,INCLUDING INTEREST
DUE,AT DATE OF DEATH $----;;~~t---_jl::t_""---':..:;.;;....--t-H--+-r
f~§5J,1]
I)/{t t
.-
RCC-43 (5-65)
COMMONWEAlLTHOF PEHNSYLVANIA -
DEPARTMENT OF REVENUE
HARRISBURG
NOTE:TO BE SUBMITTED IN TRIPLICATE
Pennsylvania Department of Revenue
Bureau of County Collections
26 S.4th Street
Harri sburg,PennsyIvan ia
Dear Sir:
Pursuant to Section 742,Pennsylvanic Inheritance and Estate Tal(Act of 1961,
we herewith submit the following report:
NAME OF REPORTINGFINANCIALINSTITUTION __W_e_s_te....r_n_P>9_n_n_a_N_a_t_io_n....-a_l_B_a....n....k _
L:--
ADDRESS 22 E.Pike S-:..,Houston,Pa.15342
ACCOUNT NO.OF JOINT,
TRUST OR INVESTMENT DEPOSIT #_9_02--'-_
NAMES ON ACCOUNTORINVESTMENT Alex E.Kiselow or Jcseph E.KiselO101
DECEASED JOINT DEPOSITOR,~
TRUSTEE OR INVESTOR A;:.....:l:...:EX::......:E:.:•.=K;::;is:...:e;.;:l:.::.,ow:.:..---:V=--_
ADDRESS .....T!:.!..hl..6i.l.:!rd~S'-l.:true;;sew.t .....__H_ou:;.:5....:.t....:.on:.:..:,:......::...P=.a=-'-=1:.:::.53::::..4.:..:.,~:-..._
DATE OF DEATH ~=---.:J:..:;-a;:,:.n....:l:.:O..:!..-,....:1::.;;:9:.l,.71=-------
SURVIVING DEPOSITOR,
BENEFICIARY OR INVESTOR J_o_se_p_h_E_._K....is....e-1-o.-,,-------
6:55 AIJine Drive"Canonsburg,Pa.15317
Mgr
TITLE
Son
ADDRESS
RELATIONSHIP TO DECEDENTDATEDEPOSITORINVESTMEN-'.....T---------------
WAS ESTABLISHED --I1a..::.y-27:...:,~19:..::'6..:..9--~__----
BALANCE,INCLUDING INTEREST /f
DU E,AT DATE OF DEATH $----:$_2.:....98-6-.4..:.5-...:..:z=-~_-~).,,:,I1f:-.C;~3~/_J_J__
#W Q~rd I!''If.1,2.3 ~ffJf 4 eM
.$'Ii 012.A.-4-C/.--1':1f'1 /Signature /
",AI.PUT,?DPIVF.,
RCC-3,,'(1-69),~
COMM'JIvEA~T.~OF PENNSYLVANIA
Df;oPARTMENT OF REVENUE OFFICIAL NOTICE :OF I~H'ERITANCE TAX
BUREAU OF COUNTY COLLECTIONS APPRAISEMENT ~ND ASSESSMENT OF
IN-IERITANCE TAX DIVISION ASSETS NOT SUBJECT TO ADMINISTRATION~iiiiiiiiii!iiii~iiiiiiiiiiiiiiiiiiiiiiiiiiiiii~~~;;iiiiiiiiiiiiiiiiiiiiiii;iiii~~iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii'l
TO':JOSli;Pli E.KISFT£)1rJ Dote:~~J!!.!an~,~ua~ry.J.-:::.2::::.B.Lt..:::1=.,97u..::1:-_
CQunty ~......,.Iil;.iU;lAlJ,,;!Sl.r.iHu.T.I.lINGuT.wQol.lN.lL.------_
County File No._
Bureau File No.~J -,/%-.Jtit
1fte have received notice tho t,~"t.g'.ooXJQfnl{}g'OOtmfx;g:..v....x."'XX:xXXX:'-uydY,.;'C."{.'Qlv_y_y_'C.U.:x..XXX1...~xx..y.XXXXX'
on',..JEln'1,;)rylO,,19.,...+J..,you ~ome into ownership ef c,er-tain property through ~2fu~...mmrlrx:L'1Q{,i
'Q'§,~~'@:tt:!»K..'m~o1J&«Q';oot'l(transfer from AL~X E.KISE:'.mv,Deceased.
Under the Inheritance and Estate Tax Laws of the CQmmOoflwealth Qf P~nnsylvonio such transfers are taxable
and the liability for the payment of the inheritance tClX due is,imposed uj:on yQlI,as transferee.
The property on which tax is hereby (lssessed consists of:--e.~~i,;1,J,I.,~~..Ll..!;.I:;IJ:.WJJ~~l.J.<',--LJJ~L..J..u...L.O.JI::::-__
as or drte of.de~th,:ii9,??Q.A9L
appraised by the Commonwealth,CIs of the dClte of death,at S 9,220,,49
lGO,%of this amount is taxabl.e at the fClte;of .,€J '~,
ORIGINAL ASSESSMENT
DA TE OF ASSESSMENT
tAXI\BL.E AMQUNT
L.ESS:ALLOWED DEBTS
NET TAXABLE AMOUNT
AMENDED ASSESSMENT
$!()(2/.3 /=<:
e(.Y/o,ys/
o If you pay the above amollnt within three (3)months
ot the date of death of the dec;edent,Qr on or
bE-fore Apr;))J Q.1973 .you may deduct a
d~collnt of 5%of the amount of tax due,or
D This fox became delinquent,fifteen (15)menths
after the date of death and,in addition to the
tQX,statutory interest at the rate of 6%of the
tllX per annum is also due os of *
11,__in the amo.unt of
*1;'the tax is not paid by the obove date additiona'l
,iaterest is due at the rate of 6%per annum until
p'Jid
2'"/6 .___....._'U2._---
~.7~0 0
(Agent for the Commonwealth)
ASSESSED BY:_~_APPRAISED BY:
TOT AL AMOUNT DUE
ttl [elM/tot(Inheritance Tax Appoier)
$553.23 $=====Y==Z~J:=<=o==a===
INSTRUCTIONS Te TAXPAYERS
Make €hecks or money orders payable to:To nsure proper credit to your account
this Official Notice must accompany
yOlll payment.Mai I or bring it to:
'K~ye:11 AIA~
..Uo.l{:ji K'12U l-H~'"i ••
15301
.."
If you have already paid this tax to an executor,administrator,attorney or other personal repre~sentative ofithe
,-decedent for forwarding to the Commonwealth,list below the date paid,name and address of the p,er~oQ tothom
you made payment,their official title and the amount.",'." '";'",,_,':..~..,:'.
Date Paid Name and Address of Payee Official Title
SS:
Under certain circumstances,if,after the date of death of the decedent,you personally paid funeral expenses
or other just debts'o'f the decedent,with funds derived from the property herein taxed,such amounts expended
by you may qualify as deductions against the gross value of the property in the computation of taxdue..lfany
such expenditures meet all of the three following tests,it is recommended that you itemize the payments below"
execute the affidavit,and return this notice.The Register of Wills will examine th~d~bts claimed and allow
those which he determines to be proper.The tax will then be recomputed and you will receive an amended
assessment of tax.
THE THREE TESTS WHICH MUST BE MET ARE THAT:
1 -You were personally legally responsible for these debts,and
2-You actually paid these debts out of the account or property described above and can furnish proof
of such payment,if required,and
3 -These same debts are not also claimed,for tax purposes,by an executor,administrator or other
personal representative of the dece~ent handling the administrationof the general estate of the
decedent or any other transferee.
SCHEDULE OF DEBTS
Date Paid 'Name of Payee Description of Obl.igation Amount Paid
,,
"
.
TOTAL ,$
(attach separate sheet If requ Ired)
COMMONWEALTH OF PENNSYLVANIA)
COUNTY OF:_
I,hereby certify that the foregoing i's a just and true statement of
funeral expenses and other debts of the decedent,,for which I
was legally responsible and which I did payout of the property herein taxed.I further certify,that to the
best of my knowledge and belief,these same debts will not be claimed by any other person,for inheritance
tax purposes.
SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF____________19__.
REPORT OF REGISTER OF WILLS
Signature of Taxpayer
I,the undersigned,duly elected Register of Wills in and for the above county,do respectfully report that I
have allowed deductions listed above in the total amount of $--------0
Date of Approval:
Register of Wills
2·You actually paid these debts out of the account or property described above and can furnish proof
of such payment,if required,and
.,
...>J-------[.
~,-..'."';"i'..-+"'~'.I"~"-~.
'':1~~,~,~...,...~-.~....-...-...--..'
~·U{\der certain circumstances,if,after the date of death of the d~cedent,you perscna:lly paid funeral eltpenses
."trothel just debts of the decedent,with funds derived from the ,property herein ta:ed,such amounts eltpended
i..,iYt}'~u may qualify as deductions against the gross value of the property in the ccmputation of tax dut'.If 4ny·';luch~.)pendituresmeet:all of the three following tests,it is recommended t~at you itemize the payme"ts btlo>w,
,''t~X.cutl the affidavit,and return this notice.The Registe.of W'ills will exa.l1ine ile debts c1aimed'and,ciitcw t
~l"~those wnich he determInes to be proper.The tax will then be recomputed and you will receive an amended
(t .'assessment of tax.
4.''.~i'tHE THREE TESTS WHICH MUST BE MET ARE THAT:
~tv _'t'.J .You were personally legal,"y responsible for these debts,and
:~....Jo-•
(
,"::~:"T',,,!,,~-,,:",,,,.#,~".,~.
':'<.~..,':.,..""'~''l);.'~:"""'~~~:'f...~~..
,t~':;i'~"~'",---""-~..,~iZI"~+
':~ft:~U1Ou hove alr.eady paid this tax to an executor,a<k;¢t"~~sf~~,.cttorney orc:ther personal representative,oflthe .
;i!'t·;4tctdent for forwardin9 to the Commonwealth,list below t"te date paid,!lom~and address of the pe.run;to,,,hom.
:~":'.:.;ou rode payment,their official title and the amount.'....··l'~r'.,';'!~~.'.~•."~\'.';j
Name and Address of Payee Offici'al Ti1 e Amount'Paic ""'''''~
3-These same debts are not also claimed,for tax purposes,by an executor,administrator or other
pers,nal representative of the dece~ent handling the adllin,istration of the general estate of the
decedent or any other transferee..
SCHEDULE OF DEBTS
Amount Paida1'c ..00'c ..00
~,-.:01
II .(I(
...
• 0..»0.2 ~.~.t4
...~0..,:1
11.34 I
3 ...30 ,
7.50 •
50 ....)0
TJTAL $2810 ;;}4
A
Garba2e Collection
(attach separate she~t if required)
·,.n &.p'osa
CoLlector
Be Teleohone Co.[.ast 111
...1..Dairv LAst:ill
-
,11/71
11/12/71
I.~
.·~/lfi/71
,
~".
~..-
1'es ~Penn -UWC::L Co.[..ast:
~:0ll&'Bbia Galt Co.Last B:
.:1 zens Wat:er Co.t...ast:
'lSI f1 Wm ...SDeakman Funeral
i':''''•~r='1~'i~rf-1+;Dr~.~M~al='r'V~C~~la=v~a::-:ls:-:i:i-=n:-::a-t-'T;-:·,.a=::s~t~I~:'l~:l=n-::;E=-ss=--..o...---------~-.6;Nt.~~----i
1-'>..~'~~I~~±Q:r.Alh~c~r.~P-n~~··:f"-:t::~,aI11T~r,.a;IA~~t:~T~'l~·~:====:=======t~~i:f~==j~"-
---~-~..M-!~=+rl~~W~+-.l....a......~Z~uv~er":-:----:--=--=:I~F~l~o~w~e==:r~s--:-_F~'un~e~r~a~l=---+__H...Lf~__-I,Miraculous Medal Ch Funeral Services
Date Paid Nome of Payee Descript on of Obligation
1~~;f~MMOHWEALTH OF PENNSYLVA~A)SS:
~.:t,COUNTY OF:Washington .)
"t"._.eph Kiselow (S )I,Jos on hereby certify ihat he foregoing is a iJst and true statement of
funeral expenses and other debts of the decedent,.Alex E.KiselOw I for which I
was legally rel90nsible and wh ic hidi d payout of the prope-rty herei n toxed.I furtfler certify,that to t:le
belf of "'y knowledge and belief,these same debts will not be cl::Jimed by on)othe;person,for inheritance
SWORN AND SUBSCRIBED 25th DJlY OF
E.
I,the undersigned,duly elected Register of Wills in and for the above county,do respectfully report thet I
hove allowed deductions listed above in the total amount of$'..
Date of ~_pproval:--:,-_
Register of wills
_.~"....
I
I RCC-134 (1-69)
COMMONWEAL:TH OF,'Pn.lNSYLVANIA
'[).EPARTMENT OF REVENUE
BUI<EAU OF COUNTY COLLECTIONS
I-lHERITANCE TAX DIVISION
-",......
OFFICIAL NOTICE OF INHERITANCE TAX
APPRAISEMENl ANC ASSESSMENT OF
ASSETS NOT SUBJECT -0 ADMINISTRATION
CANONSBlffiG...,PENNSYl.VANIA 15:132
Date:FebruB't'Y 2,1971
County WASHINGTON
County File No._
,toSEPS t\ISlclUJW
655 ALPINE DRtvE
TO:_....u.LIl....IJ~.L...J.l~;l,;,&,l,;tIiLU-_
We have received notice that,"~.~.•.'1fil:XIXXXXXmxIX2tX',{~x:x:x.xx:xxx.x:
on .JalJUBQ'10 19~7~:you came into ownership cf certain proJertythrough'.
w~~~:moo~h"'e~.transfer I f:t>Oli1 ~E,KISF;LOW,DEleea~ed.
Under the Inheritance and Estate Tax Laws of the Commonwealth of jennsylvania such transfers are taxable
an~the liability for the payment of the inheritance to):due is imposed Lpon you,as transferee,
The property on which tax is hereby assessed cons sts d:Jt.SIlY:l.nSS Account IJ902 held :in the
WESTEaN pENfJSYLVANIA NATIONAL BANK",HQUS'i'OtI OFFICp~,HOOSTON,PENNSYLVANIA.in the names
pf ALIDt Eli KISEL01i OR JOSEPH E.KISEI.Qti!<j .Opened M!:,..27,1959,Ba.l.(l).n:ee a.s of dat.e of
ap~,raised by the Commonwealth,as of the date of dea"h,at $2.,9$6.45
50 %of this amount is taxable at the rate of 6 %
ORIGINAL ASSESSMENT AMENDED ASSESSMENT
DATE OF ASSESSMENT
TA(ABLE AMOUNT
LE.;S:ALLOWED DEBTS
NET TAXABLE AMOUNT
$--------
AMOUNT OF TAX DUE "
o f you pay the above amount within three (3)months
,)f the date of death of the decedent,or on or
:)efore April 10 19 71 you may deduct c
t:liscount of 5%of the amount of tax due,or
D This tax became delinquent,fifteen (15)months
after the date of death and,in addition to the
tax,statutory interest at the rate of 6%of the
tax per annum is also due as of *_
19_·_in the amount of
*1£the tax is not paid by the above date additional
interest is due at the rate of 6%per annum unti I
paid
TOTAL AMOUNT DUE $$=================
~...-,/'
APP ~AISED BY:_.l...<a~Y::L..p"w')~"I>~,;d;-£+.t....,./!..!-'"=t...(~_y:;..·::.....__
(Inheri ance Tax Appraiser)
A~SES~ED BY:_
(ft.gent for the Commonwealth)
INSTRUCTIONS TO TJ-XPAYERS
Make checks or money orders payable to:1 c insure proper credit to your account
th,s Official Notice must accompany
yOJr payment.Mail or bring it to:
1530.
If you have already paid this tax to an executor,adr.nin-ii!trator,attorney or other personal representative of the
decedent for forwarding to the Commonwealth,list b'elow the date paid,name and address of th,<:._p~rs;rf to whom
you made payment,their official title and the amount.
Date Paid Name and Address of Payee Official Title Amount Paid ii
COUNTY Of _
I,hereby certify that the foregoing is a just and true statement 0
funeral expenses and other debts of the decedent,,for which I
was legally responsible and which I did payout of the property herein taxed.I further certify,that to the
best of my knowledge and belief,these same debts will not be claimed by any other person,for inheritance
tax purposes.
es
ed
ny
low,
w
,)
f
Amount Paid
TOTAL $
Signature of Taxpayer
Description of Obligation
SCHEDULE OF DEBTS
(attach separate sheet if requ ired)
Name of Pa ee
SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF____________19__
SS:
COMMONWEALTH OF PENNSYLVANIA)
Date Paid
2 -You actually paid these debts out of the account or property described above and can furnish proof
of such payment,if required,and
THE THREE TESTS WHICH MUST BE MET ARE THAT:
3 -These same debts are not also claimed,for tax purposes,by an executor,administrator or other
personal representative of the decedent handling the administration of the general estate of the
decedent or any other transferee.
1-You were personally legally responsible for these debts,and
Under certain circumstances,if,after the date of death of the decedent,you persona1lly paid funeral ex pens
or other just debts of the decedent,with funds derived from the property herein taxed,such amounts expend
by you may qualify as deductions against the gross value of the property in the computation of tax due.If a
such expenditures meet all of the three following tests,it is recommended that you itemize the payments be
execute the affidavit,and return this notice.The Register of Wills will examine the debts claimed and allo
those which he determines to be proper.The tax will then be recomputed and you will receive an amended
assessment of tax.
REPORT OF REGISTER OF WILLS
I,the undersigned,duly elected Register of Wills in and for the above county,do respectfully report that I
have allowed deductions listed above in the total amount of $•
Date of Approval:_
Register of Wills
Form _RC~-2 .COMMONWEALTH (oF PENNSYLVANIA DATE ___........Ap~;i,J.....+3..........+.9.7+..........................,....-•EPARTMENT OF REVENUE RESIDENT iNHERITANCE TAX ...........w?&b.;i,p,gt...9.P.:.......................................~COUNTYBUREAUOFCOUNTYCOLLECTIONS
H4RRISBURG.PENNA.17127 APP:lAISEMENT
FILE NO•................~2.=7.+.:=~..?.9........................................
Whereas,...............................................Alex...E.•.....Kis..elow................................................late of ............................tl9.~.~.t.9.J}..........................................................
in the County of .......................................................W~.~.h.mK~.Qn .............................................Commonwealth of Pennsylvania,having died on
thE:........................t.~.n:t.b.......................................................day of .................~.~..~:r.....................................19.....7;1"seized and possessed of an estate
subject to Inheritance Tax under the laws of the Corr.momvealth of Pennsylvania;
Therefore,I,FRANCES LEO an appraiser duly appointed according to law,...................................................................................................................................,
haring been designated to make a fair and conscionable appraisemer.t of the said estate,and to assess and fix
the cash value of all annuities and life estates growin5'out of said esta:e,hereby file the following appraisement:
In the event that any future interest in this estate is trans:erred in possession 0:-enjoyment to collateral heirs of the decedent after
the ~xpiration of any estate for life or for years,the CommonweeJth h~reby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.
I AppraisementUnitDescriptionofAssetValuesMadeforInherltanc.Tax Purposes
:$
Jt Sav;np"S Account #7202 held in the Iv1E:.LON NATIONAL BANK &TRUST
COMPANY.CANONSBURG OFFICE.CANONSBURG~PENNSYLVANIA.In the
names of ALEX E.KISELOW IN TRUST FOR Jas·EPH E.KISELm,'.Opened
g-1-57.Balance as of date of death,$9,220.49 9,220 49
,
Jt.S:winp"S Account #902 held in the WE5TERN PENNSYLVMHA
:'JATIONAL BANK.HOUSTON OFFICE HOUSTON.PENNSYLVANIA.in the names
HF,Y R l(T~k'T ()IAT nR h ~:I--'H F.KTS-k'T ()l,r ()"';:r>"Ior'l t;_?n_t;Q
~.."..,...,,""..,'",,-f'r'I.,+"""f'r'I"".,+l--.ct:0 oot.J.t:.2~986 45-"
,
,
I
1
f.rm:V~~hb~:::~:'We>rn.c:"'~~~~'~.~o~~~=':~~t~~~S~iS;::i??
Apprai8er
...•...............................................,..-............................................................................,.............................~...............................................?:L!.....'j'P;;;;t"'Offl ).....H •••••••••••••••H ••••'Penna.1
--
W"A$IfqlJg~9~H'H""""""County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
............................ALEX E.•....KISELQW .
Deceased.
Late of
i19.iJ.$TI?N
Date of Death,J.,;:::J.,~7J":.
Appraisement Docket Vol.,.
Page,HH H No 6.3~.7l~3.$..9 .
Filed in Register's Office,Aprll..l,3 19 71
Amount of tax due,$:..
DEPARTMENT OF REVENUE
Received,
Examined and Approved,..
Wrote abo.ut Appra-isement,.
Appeal j,.om Appraisement,.
Entered and charged,.
"•
1-
BUR:AU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPI.280601
HARKISBURG,PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
REV-1607 EX ,AFP (03-96)
I
.J
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBEiR
COUNTY
ACN
08-05-96
KISELOW
01-10-71
63 71-0389
WASHINGTON
101
Amount Remitted
ALEX E
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGI STI::R OF WIL LS
WASHINSTON CO COURT HOUSE
WASHIN3TON,PA 15301
NOTE:To insure proper credit to your account,submif the upper por~ion of ~his form wi~h your tax payment.
CUT ALONG THIS LINE t:-RETAIN LOWER PORTION FOR YOUl:RECORDS <'.1------------------------------------------------------,----------------------------------------------------------REV-1607 EX AFP (03-96)~~*INHERITANCE TAX STATEMENT CF ACCOUNT ***
ESTATE OF KISELlJW ALEX E FILE NO.63,71-0389 ACN 101 DATE 08-05-96
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATU~OF THE STATED ~CN IN THE NAMED ESTATE.SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE,APPLICATION OF ALLPAY''1ENTS,THE CURRENT BALANCE,AND,IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT:
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
03-08-82
503.76
PA"r'MENT RECEIPT DISCOUNT (+)AMCUNT PAID[ATE NUMBER INTEREST (-)
0,,-12-71 XB124926 .(0 475.00
08-03-96 WRITEOFF 41.E9-70.65
i
/
TOTAL Tt.X CREDIT 503.76THEDEPARTMENTHASWRITTENOFFTHE
!BALANCE CFBALANCEDUEASUNCOLLECTABLE TAX DUE .00i
INTEREST AND PEN..00
TOTAL DUE .00