HomeMy WebLinkAbout12-15-06 (2)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
c!""r'(lnf'!Fccl' r,r:pr~~,ERITANCE TAX
" ',',.11 iljc) :.Jt ! "1tECORD ADJUSTMENT
,r"'j 1 rt!,_ I"~
\~ENlFICIARY FORM ASSETS
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
BUREAU OF' INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG, PA 17128-0601
2006 DEe I 5 At111: 33
CLERK OF
ORPi 'AI'I',,\ enl IDT
DENISE L ANOLK" tr!n:-~i,\;,j '7'.'~,I\'D'\
POBOX 852 vu'k' x "" f\
MECHANICSBURG PA 17055-0000
CUT ALONG THIS LINE
REY-l'DU EX AFP lll-D41
12-06-2006
ANOKA
07-18-2005
21 05-0722
CUMBERLAND
117-24-5745
05500662
Allount Rellitted
RUTH A
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
--+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
----------------------------------------------------------------------------------------------------------------------------------------------------------------
REV-1604A EX AFP (01-03)
-- INHERITANCE TAX RECORD ADJUSTMENT BENEFICIARY FORM ASSETS __
DATE 12-06-2006
ESTATE OF ANOKA
RUTH
CUMBERLAND
A DATE OF DEATH 07-18-2005
FILE NO. 21 05-0722
ADJUSTMENT BASED ON:
COUNTY
S.S/D.C. NO. 177-24-5745
ADMINISTRATIVE CORRECTION
BENEFICIARY FORM ASSETS
NAME OF SECURITY:
PPL
TYPE OF ACCOUNT:
(X) SECURITIES () SEC ACCT
DOD Valuation
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:
ACN
05500662
ACCOUNT NO. 309902189
( ) STOCK
( ) BOND
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: IIREGISTER OF WILLS, AGENT.II
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
1l-07-2006 CD007420 .00 747.10
12-05-2006 REFUND .00 747.10-
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE nn
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. I
( IF TOTAL DUE IS LESS THAN $I, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), c:c/
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
REV-1470 EX (6-88)
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME
RUTH A ANOKA
FILE NUMBER
Judy Watts
ACN
2105-0722
05500662
REVIEWED BY
ITEM
SCHEDULE NO.
EXPLANATION OF CHANGES
Above ACN has been zeroed out since it was already reported on the Inheritance Tax
return. You will be receiving your refund in 4-6 weeks.
ROW
Paae 1