HomeMy WebLinkAbout07-18-08 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
suREau DF INDIVIDUAL TAXES R~COFFLI•~ADJtJSTM~NT
INHERITANCE TAX DIVISION
PO BOX 280601 .
JOINTLY HELD OR ''TRUST ASSETS
HARRISBURG PA 17128-0601 REV-1604 EX AFP (03-05)
DATE 07-10-2008
ANN L
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D~EATH 09
08
2006
FILE NUMBER 21 06-0829
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CUMBERLAND
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436
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ANITA PEOPLES ~~
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1496 UNION ST .- -~'i ` ~
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Amount Remitted
COAL PORT PA 16627
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 07-10-2008
ESTATE OF HAMMOND ANN L DATE OF DEATH 09-08-2006 COUNTY CUMBERLAND
FILE N(1. 21 06-0829 S.S/D.C. N0. 019-14-1436 ACN 06159951
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1sT Fcu ACCOUNT N0. 22550-46
TYPE OF ACCOUNT: C ) SAVINGS ( ) CHECKING C ) TRUST CX) TIME CERTIFICATE
DATE ESTABLISHED 01-14-2004
Account Balance
Percent Taxable
Amount: Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
X 1.000
.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."
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 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" (CR),
- ~~- ~~~ orvrocc cTnE OF THIS FORM FOR INSTRUCTIONS.