HomeMy WebLinkAbout09-21-07 (2)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
__ _ INHERITANCE TAX
-'- : 'RECORD ADJUSTMENT
,JClI.,aTLY HELD OR TRUST ASSETS
'*
.
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRIS8URG PA 17128-0601
2001 SEP 2\ F1112: 52,
GLORIA B STITES
103 POPLAR AVE
SUMMERDALE
CI -q" r.c
_t. \,\ u,
OR". uA~I'c.' i'V')! :~,T
r'l \, ".\"~ ,) ~,..! \,~ ,_J fi i
CLit;r:.r"'-' ,', ,,--,""; ;:'l'.
, ,~\- -(',:' " " . ."'.
PA 17093
REV-1604 EX AFP (03-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
09-17-2007
BLESSING
02-14-2006
21 06-0230
CUMBERLAND
718-18-8155
06122128
DONALD
J
Amount Remitted
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
of-
..-....-..--..-..-..-.....---..-..-..-......--.....-..-.-..-......-..-..-......---....---..-..-----.....--......-----..-.-----.
REV-1604 EX AFP (03-05)
.. INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS --
DATE 09-17-2007
ESTATE OF BLESSING
DONALD
J DATE OF DEATH 02-14-2006
COUNTY
CUMBERLAND
ACN
06122128
FILE NO. 21 06-0230
ADJUSTMENT BASED ON:
S.S/D.C. NO. 718-18-8155
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FI NANCIAL INSTITUTION: SOVEREIGN BANK
ACCOUNT NO.
0925280786
TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE
DATE ESTABLISHED 01-02-2001
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
.15
.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 nn ,"'.
II IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM 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
FILE NUMBER
2106-0230
Donald J. Blessing
REVIEWED BY
ACN
Jacquelene Miller
06122128
ITEM
SCHEDULE NO.
EXPLANATION OF CHANGES
This account has been adjusted to zero. The account was reported on the probate return.
PaQe 1