HomeMy WebLinkAbout06-20-08 (2)COMMONWEALTF" OF PENNSYLVANIA
DEPARTMEIST OF REVENUE
,.. .-_
BUREAU OF INDIVIDUAL T-xES - - INHERITANCE TAX
INHERITANCE TAX DIVISION RECORD ADJUSTMENT
Po eax zso6ol - _ _ - JOINTLY HELD OR TRUST ASSETS
HARRISBURG PA 17128-0601
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LARUE M iJACOBS
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 07130589
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 E---
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 07130589
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT N0. 1055355398
TYPE OF ACCOUNT: C ) SAVINGS C ) CHECKING CX) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 04-25-2002
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
1,455.23
X 0.500
727.62
.00
727.62
)( . 4 5
32.74
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
10-24-2007 CD008861 .00 32.74
TOTAL TAX CREDIT 32.74
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TO1fAL 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.)