HomeMy WebLinkAbout03-17-08
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
REV-1604 EX AFP (03-05)
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
03-11-2008
MYERS PAUL
02-16-2007
i'8 8352980 :;L1-o'(-DJ;).S
CUMBERLAND
177-42-1161
07113362
E
JANET MENTZFJ:fiFf-i"
984 GREENSPRING RgU
NEWVILLE PA 17241
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
+-
----------.-------------------------------------------....-------------------------.--...--------------------------.-..---.-----.----......----.----....------.--..
REV-1604 EX AFP (03-05)
-- INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS __
DATE 03-11-2008
ESTATE OF MYERS
PAUL
E DATE OF DEATH 02-16-2007
COUNTY
CUMBERLAND
FILE NO.
70 0362900
S.S/D.C. NO. 177-42-1161
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
ACN
07113362
ADJUSTMENT BASED ON:
FINANCIAL INSTITUTION: ORRSTOWN BANK
ACCOUNT NO.
815942
TYPE OF ACCOUNT: e) SAVINGS eX) CHECKING e) TRUST e) TIME CERTIFICATE
DATE ESTABLISHED 01-30-2001
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
* 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.)
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