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HomeMy WebLinkAbout05-30-08COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVInUF.L Tq-xES ~-r; r _ '". INHERITANCE TAX INHERITANCE TAX DIVISION _, ~..'_ RECORD ADJUSTMENT Pa Box zaB6B1 JOINTLY HELD OR TRUST ASSETS HARRISBURG PA 17128-0601 "',__„i_ :-. ~ ~ ` ?6~~18 SAY 30 P~ !~- 54 v~''f I, Gi.. ~ ,~, ~.~- ~~pp ,tj`~'~ ~ F-I )~~~T JAMES HUNCH~1~,~ ~ ~ C~.a 557 WOODLAND AVE `~'~' JOHNSTOWN PA 15902 ~'~ REV-1604 EX AFP (03-05) DATE 05-28-2008 ESTATE OF HUNCHARIK ANNA DATE OF DEATH 10-20-2006 FILE NUMBER 21 07-0430 COUNTY CUMBERLAND SSN/DC 196-18-0778 ACN 07125542 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-16041 EX AFP C03-05) ** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ** DATE 05-28-2008 ESTATE CIF HUNCHARIK ANNA DATE OF DEATH 10-20-2006 COUNTY FILE N0. 21 07-0430 S.S/D.C. N0. 196-18-0778 ACN CUMBERLAND 07125542 ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANC:[AL INSTITUTION: PNC BANK ACCOUNT N0. 5003157946 TYPE OF ACCOUNT: CX) SAVINGS ( ) CHECKING C ) TRUST C ) TIME CERTIFICATE DATE ESTABLISHED 03-13-2000 Account Balance Percent Taxable Amount '_>ubject to Tax Debts and Deductions Taxable Amount Tax RatEa Tax Due TAX CREDITS: 3,056.72 NOTE: X 0.500 1,528.36 7,560.00 .00 X .00 .00 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 (-) AMOUNT PAID TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE ~ IF PA:[D 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), VOII MAV AF T111F O RFFIINTI_ SFF RFVFRSR STnF OF THTS FORM FOR TNST RIICTTONS_) ~~ REV-1470 EX (688) `~ `! COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREFIU OF INDIVIDUAL TAXES PO Box 280601 INHERITANCE TAX EXPLANATION OF CHANGES DECEDENT'S NAME FILE NUMBER 2107-0430 Ann Huncharik REVIEWED BY ACN Scott Ellison 07125542 ITEM SCHEDULE NO. EXPLANATION OF CHANGES The funeral expense has been applied to this account. There is no tax due on this account. Row Page 1