HomeMy WebLinkAbout06-20-08COMMONWEALTF OF P^NNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TaxES 'I:NHERITANCE TAX
INHERITANCE TAX DIVISION _; ,:._ RECORD ADJUSTMENT
Po Box 2BBCO1 ~-- ~ - JOINTLY HELD OR TRUST ASSETS
HARRISBURG PA 17128-0601
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LARUE M JACOBS ~~ ~?'
475 JACOBS RD
JULIAN PA 16844
REV-1604 EX AFP (03-05)
DATE 06-17-2008
ESTATE OF HOMMEL EDWARD S
DATE OF DEATH 05-27-2007
FILE NUMBER 21 07-0973
COUNTY CUMBERLAND
SSN/DC 190-18-4088
ACN 07130588
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 06-17-2008
ESTATE OF HOMMEL EDWARD S DATE OF DEATH 05-27-2007 COUNTY CUMBERLAND
FILE N0. 21 07-0973 S.S/D.C. N0. 190-18-4088 ACN 07130588
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT N0. 0575386214
TYPE OF ACCOUNT: C ) SAVINGS C ) CHECKING CX) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 08-01-1996
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
3,511.34
X 0.500
1,755.67
.00
1,755.67
X .45
79.01
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 (-) AMOUNT PAID
10-24-2007 CD008861 .00 ~ 79.01
TOTAL TAX CREDIT 79.01
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE 0
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN S1, 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.)