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HomeMy WebLinkAbout07-22-08 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF ]INDIVIDUAL TAXES INHERITANCE TAX INHERITANCE TAX DIVISION RECORD ADJUSTMENT PO BOX 280601 JOINTLY HELD OR TRUST ASSETS HARRISBURG PA, 17128-0601 REY -1604 EX AFP C03-05) DATE 07-10-2008 ESTATE OF HAMMOND A NN L DATE OF DEATH 09-08-2006 FILE NUMBER 21 06-0829 COUNTY CUMBERLAND ANITA PEOPLES SSN/DC 019-14-1436 ACN 06159953 1496 UNION ST COAL PORT PA 16627 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT FUSE ''`~.. CARLISLE, PA 17013 ~-Q ~ , c°.-, ~--- '~n ~ ~ - Y-, r-- `_, ;-~ CUT ALONG THIS LINE -") RETAIN LOWER PORTION FOR YOUR RECORDS ~-ry=~ ~ - ~ ~ ,y .._ _ ------------------------------------------------------------------------------------------}~=?...-? -- -------- _ REV - 16 0 4 EX AFP ( 0 3 - 0 5) ~~ ~-; ~ ** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSE1`S' DATE 07~td=2008 ~ , ESTATE OF HAMMOND ANN L DATE OF DEATH 09-08-2006 COUNTY (CUMBERLAND FILE N0. 21 06-0829 S.S/D.C. N0. 019-14-1436 ACN 06159953 ADJUSTMENT BASED DN: ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 22550-45 TYPE OF ACCOUNT: C ) SAYINGS C ) CHECKING C ) TRUST ~X) TIME CERTIFICATE DATE ESTABLISHED 11-04-1982 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 NOTIGE WITH YOUR 7AX PAYMENT TO THE REGISTER DF WILLS AT THE ADDRESS SHOWN ABOVE. MAKE CHECK OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." PAV'MENT 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 ~ IF PAID 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), -- -••- ...-.~~~un ccr pFVFRSE SIDE OF THIS FORM FOR INSTRUCTIONS.) `1 REV-1470 EX (6-88) COMMON(NEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box. 280601 INHERITANCE TAX EXPLANATION OF CHANGES DECEDENT'S NAME FILE NUMBER Ann L. Hammond 2106-0829 REVIEWED BY ACN Eunice Baker 06159951, 06159952, 06159953 ITEM SCHEDULE NO. EXPLANATION OF CHANGES The above accounts have been adjusted to zero. The accounts were reported on the probate return. ROW Page 1