HomeMy WebLinkAbout04-11-08
BUREAU OF dIDI, ~DUAL FfA~~:S-T)F!i
INHERITANCE TAX DIVISION' -'
PO BOX 2B0601
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)
2008 APR I I PM I: 02
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
04-03-2008
KINER SR
07-18-2006
21 07-0270
CUMBERLAND
205-36-9879
06154038
RONALD
A
C/f::OY or
:"'\-_1 Ii \ Jj ~
q~,Df-'IP,rs COURT
WILLIAM ClJt/Kl'N~RT: DI
1213 CENTERVILLE RD ,1,\
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 (03-05J
__ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS --
DATE 04-03-2008
ESTATE OF KINER SR
RONALD
A DATE OF DEATH 07-18-2006
COUNTY
CUMBERLAND
FILE NO. 21 07-0270
ADJUSTMENT BASED ON:
S.S/D.C. NO. 205-36-9879
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
ACN
06154038
FINANCIAL INSTITUTION: FARMERS NATL BK
ACCOUNT NO.
9000107504
TYPE OF ACCOUNT: (X) SAVINGS () CHECKING () TRUST () TIME CERTIFICATE
DATE ESTABLISHED 10-13-2004
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
NOTE: TO INSURE PROPER CREDIT TO YOUR
ACCOUNT, SUBMIT THE UPPER PORTION
OF THIS NOTICE WITH YOUR TAX
PAYMENT TO THE RESISTER OF WILLS
AT THE ADDRESS SHOWN ABOVE.
MAKE CHECK OR MONEY ORDER PAYABLE
TO: "REGISTER OF WILLS, AGENT."
TAX CREDITS:
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
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~I
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
un.. "AU ,>1= nile: A "e:e:IINn, '::1=1= REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
REV-1470 EX (&-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
REVIEWED BY
ITEM
SCHEDULE NO.
FILE NUMBER
Ronald Kiner
ACN
Department of Revenue! Emerson Luciano
EXPLANATION OF CHANGES
The above referenced ACN has been reduced to zero, as this account
was reported on the probate return.
2107 -0270
06154038
Paqe 1