HomeMy WebLinkAbout07-22-08 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF ]INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO 80X 280601
HARRISBURG PA 17128-0601
ANITA PEOPLES
1496 UNION ST
COAL PORT PA 16627
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
07-10-2008
HAMMOND
09-08-2006
21 06-0829
CUMBERLAND
019-14-1436
06159952
Amount Remitted
REV-1604 EX AFP (03-05)
ANN L
MAKE CHECK PAYABLE AND~~MjIT PA MENT TO.-: ,
REGISTER OF WILLS i~c,~~~-- .;
CUMBERLAND CO COURT ~~ N
CARLISLE, PA 17013 ~"~-~ N `'
;1`) Je C '
~, ~ ~~ -
__~~ ~
---- NG THIS LINE ~-~- RETAIN LOWER PORTION FOR YOUR RECORDS ~~~ ,~.
CUT-ALO----------------------------------------------------------------------------------------------------------------------t3 _________ _ ______ _ _ _
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 N0. 21 06-0829 S.S/D.C. N0. 019-14-1436 ACN 06159952
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST Fcu
ACCOUNT N0. 22550-44
TYPE OF ACCOUNT: C ) SAVINGS ( ) CHECKING C ) TRUST CX) TIME CERTIFICATE
DATE ESTABLISHED 10-22-2004
Account Balance
Percent Taxable
Amount: Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00 NOTE:
X 1.000
.00
.00
.00
X .45
.00
TD 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
* I1= PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
C IF 'TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
---••~•.. ..rr ocvcpSF SIDE OF THIS FORM FOR INSTRUCTIONS.)
INHERITANCE TAX
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS