HomeMy WebLinkAbout05-30-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERITANCE TAX DIVISION '- ~ ~" -``'= '''-RECORD ADJUSTMENT
PD Box zeocol ~' ' ~~ ~JOINTtY HELD OR TRUST ASSETS
HARRISBUIRG PA 17128-0601 - `1
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RAYMOND M STAUB ~~}'t~~".I~`^ +v,(_;'JRT
531 W SIMPSON ST~~;' ~~~-`' `~ ;n'. ~N+
MECHANICSBURG PA 17055
REV-1604 EX AFP (03-05)
DATE 05-22-2008
ESTATE OF STAUB ARLENE M
DATE OF DEATH 11-30-2006
FILE NUMBER 21 06-1077
COUNTY CUMBERLAND
SSN/DC 163-30-6439
ACN 07101319
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE -• RETAIN LOWER PORTION FOR YOUR RECORDS •--
REV-1604 EX AFP C03-05)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE 05-22-2008
ESTATE OF STAUB ARLENE M DATE OF DEATH 11-30-2006 COUNTY CUMBERLAND
FILE NO. 21 06-1077 S.S/D.C. N0. 163-30-6439
ACN 07101319
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK ACCOUNT N0. 31500076724
TYPE OF ACCOUNT: C ) SAVINGS C ] CHECKING C ) TRUST (X) TIME CERTIFICATE
DATE E',~TABLISHED 02-18-1997
Account: Balance
Percent: Taxable
Amount Subject to Tax
Debts wind Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS
.00
X 0.500
.00
.DO
.00
X .15
.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."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) 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.
C IF TOTAL DUE IS LESS THAN 81, 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 (6-8b~
~ '~,Y:`
~j
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG. PA 17128-0601
DECEDENT'S NAME
Arlene M Staub
REVIEWED BY
Rick Olson
INHERITANCE TAX
EXPLANATION
OF CHANGES
FILE NUMBER
2106-1077
07101319
ITEM
SCHEDULE NO, EXPLANATION OF CHANGES
The above referenced ACN has been reduced to zero as this account was reported on the
probate return.
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