HomeMy WebLinkAbout07-14-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~_~ ~ ;~~'~IWNERITANCE TAX
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX nrvlsloN ~ ~ R~GORD ADJUSTMENT
Po eox zao6sl ;~,I"0'INT.L'~!, HELD OR TRUST ASSETS
HARRISBURG PA 17128-0601 REV-1604 EX AFP C03-05)
?~~ ~~~ ~ [} ~ 4~; ~~ DATE 07-07-2008
ESTATE OF BERG ELEANOR R
DATE OF DEATH 02-13-2008
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~~t FILE NUMBER 21 OS-0238
_
~Ciw`~~'~v~`~ r~C1~4(~~' COUNTY CUMBERLAND
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THOMAS H BERG C
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~ SSN/DC
.
: - ACN 08118435
130 PARKER ST
CARLISLE PA 17013 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 ~
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REV-1604 EX AFP C03-05~
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE 07-07-2008
ESTATE OF BERG ELEANOR R DATE OF DEATH 02-13-2008 COUNTY CUMBERLAND
FILE N0. 21 08-0238 S.S/D.C. N0. 071-12-3522 ACN 08118435
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT N0. 706002270
TYPE OF ACCOUNT: CX) SAVINGS ( ) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 01-03-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
.00
X 0.500
.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 (+)
INTEREST/PEN PAID C-) AMOUNT PAID
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDI
C IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF T
vn„ „nv ur nnG a aFFUND_ SEE REVERSE SIDE OF THIS FORM FOR IN
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE 0
TIONAL INTEREST.
OTAL DUE IS REFLECTED AS A "CREDIT" CCR),
STRUCTIONS.)
pEV.7470 EX (688)
6
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
DECEDENT'S NAME
Eleanor Berg
INHERITANCE TAX
EXPLANATION
OF CHANGES
FILE NUMBER
2108-0238
Scott Eiiison l~v~~ 08118435
ITEM
SCHEDlJLE NO, EXPLANATION OF CHANGES
The above account has been reported on the probate return. This billing has been adjusted
to zero.
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