HomeMy WebLinkAbout12-26-06
COMMONWEALTH OF PENNSYLVANIA
pC{'''lpf"lr: i n::rf~~~TMENT OF REVENUE
, 1~'_U. IlA..O ~~' r',VL INHERITANCE TAX
',-f \"'::: 8~CORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
'*
BUREAU SF INDItIDUAL TAXES
INHERITANCE TAX DIYISION
PO BOX Z80601
HARRISBURG PA 171Z8-0601
2006 DEe 26 PM 12: 12
MARY
34 COLGATE
CAMP HILL
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T MOHNAL
DR
PA 17011
REY-1604 EX AFP (03-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
12-14-2006
MOHNAL
02-09-2006
21 06-0161
CUMBERLAND
197-40-6272
06117807
Allount Relli tted
L
PATRICIA
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE
--+ RETAIN LOWER PORTION FOR YOUR RECORDS
+-
REV-1604 EX AFP (03-05)
__ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS --
DATE 12-14-2006
ESTATE OF MOHNAL
CUMBERLAND
PATRICIA L DATE OF DEATH 02-09-2006
COUNTY
ACN
FILE NO. 21 06-0161
ADJUSTMENT BASED ON:
S.S/D.C. NO. 197-40-6272
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: POSTMARK CU
06117807
ACCOUNT NO. 6442
TYPE OF ACCOUNT: (X) SAVINGS () CHECKING () TRUST () TIME CERTIFICATE
DATE ESTABLISHED 02-27-1986
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
.00
0.500
.00
.00
.00
.45
.00
TAX CREDITS:
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 ADDRESS SHOWN ABOVE.
MAKE CHECK OR MONEY ORDER PAYABLE
TO: "REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE DO
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
( IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS.)
REV-1470 EX (&-88)
.*
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME
PATRICIA MOHNAL
FILE NUMBER
PHYLLIS HOCH
ACN
2106-0161
06117807
REVIEWED BY
SCHEDULE ITEM
NO.
EXPLANATION OF CHANGES
The above referenced ACN has been reduced to zero, as this account was reported on the
probate return.
PaQe 1