HomeMy WebLinkAbout07-18-08 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAxES i'NHERITANCE TAX
INHERITtNCE "fAX DIVISION R~ECDRD ADJUSTMENT
Po Box 2so6B1 _•~~ ~d0I1rTLY HELD OR TRUST ASSETS
HARRISBURG PA 17128-0601 `;,',;. REV-1604 EX AFP C03-05)
DATE 07-10-2008
~~~~ ,[~:~ ~ ~~j ~t`~,~' ~ 9 ESTATE OF HAMMOND ANN L
DATE OF DEATH 09-08-2006
,.,r FILE NUMBER 21 06-0829
CLEF,~~ ~-%^ -~ COUNTY CUMBERLAND
+~1'~, ~r'Jt~~i SSN/DC 019-14-1436
JAMES HAMMOND Og~i~' "~r r ^, P"
r:_.(1I i 't , _ +'~ ACN 06158529
14 71 VALLEY R D CUN+ ~-' '
Amount Remitted
MARYSVILLE PA 17053
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`er
REV-1604 EX AFP C03-05)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD DR TRUST ASSETS ~*
DATE 07-10-2008
ESTATE OF HAMMOND ANN L DATE OF DEATH 09-08-2006 COUNTY CUMBERLAND
FILE NO. 21 06-0829 S.S/D.C. N0. 019-14-1436 ACN 06158529
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1sT Fcu ACCOUNT N0. 22550-46
TYPE OF ACCOUNT: C ) SAVINGS C ) 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
.00 NOTE:
X 1.000
.00
.00
.00
X .45
.00
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 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" (CR),
- - ---••••~ ~~r ocvrocG cIT)E OF THIS FORM FOR INSTRUCTIONS.)