HomeMy WebLinkAbout05-09-08
~ ~ .
r r. 1~ ~1 ~ 1+'i
BUREAU OF INbI4L~dlU~1~ ~ ~E~
INHERITANCE TAX O~YIS1 t 1V ,~~
PO BOX 280601 ~ "'`''
HARRISBURG PA 17128-0601
208 ~~'t -9 ~~ ~ ~ ~ 22
CLE1-~K ~r
pRP;-',~~ ~'~ r~~~~~~T
ROBEr&~+~'~' ' C D`b~NOVAN
85 HORSEKILLER RD
SHIPPENSBURG PA 17257
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1604 EX AFP (03-05)
~~ INHERITANCE TAX RECORD ADJUSTMENT JDINTLY HELD OR TRUST ASSETS **
DATE 05-06-2008
ESTATE OF DONOVAN HELEN A DATE OF DEATH 03-14-2007 COUNTY CUMBERLAND
FILE N0. 21 07-0288 S.S/D.C. N0. 193-12-8801 ACN 07120162
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ADAMS COUNTY NATIONAL BANK ACCOUNT N0. 1595105
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
REV-1604 EX AFP (03-05)
DATE 05-06-2008
ESTATE OF DONOVAN HELEN A
DATE OF DEATH 03-14-2007
FILE NUMBER 21 07-0288
COUNTY CUMBERLAND
SSN/DC 193-12-8801
ACN 07120162
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT: C ) SAVINGS (X) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 06-03-2003
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
.00
X 0.166
.00
.00
.00
X .45
.00
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
T0: "REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
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 61, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
• ~ +
REV-1470 EX (G88)
,~ ~ INHERITANCE TAX
` EXPLANATION
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME FILE NUMBER
Helen A Donovan 2107-0288
REVIEWED BY ACN
Scott Ellison 07120162
ITEM EXPLANATION OF CHANGES
SCHEDULE NO.
The above account has been adjusted to reflect that the account will be reported on the
probate return.
Row Page 1