HomeMy WebLinkAbout07-18-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAxES I~IH`ERITANCE TAX
INHERITANCE TAX DIVISION 'R'~'CDRb ADJUSTMENT '
PD Box zaB6a1 JOINTLIY HE(D OR TRUST ASSETS
HARRISBURG F'A 17128-0601 `" `' '~ REV-1604 EX AFP (03-05)
~`TE 07-14-2008
~~~~,~-~~- ~ ~ ~~' ESTATE OF GRAY DONALD A
DATE OF DEATH 07-25-2007
E -,.- FILE NUMBER 21 07-0769
~~~~'~ ~ ~, t~ COUNTY CUMBERLAND
OR-~Na+hd~~ `v~~~~il~ SSN/DC 202-20-2721
SSTEVEN D GRAY (;~,f ~,~F`~C~'~ `~'•,L• ~;~) . [~,Q ACN 07141902
l~479 WHEATLEDY RD Amount Remitted
F~EDERALSBURG MD 21632
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 07-14-2008
ESTATE OF GRAY DONALD A DATE OF DEATH 07-25-2007 COUNTY CUMBERLAND
FILE N0. 21 07-0769 S.S/D.C. N0. 202-20-2721 ACN 07141902
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1sT FCU ACCOUNT N0. 160047-00
TYPE OF ACCOUNT: CX) SAVINGS C ) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 12-11-1998
Account Balance
Percent Taxable
Amount Sub]ect to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
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."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
02-12-2008 CD009300 .00 57.14
07-14-2008 REFUND .00 57.14-
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.
( IF 'TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR),
--- -~ ....~ crrnun cF^ REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
REV-1470 EX (&88)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG. PA 17128-0601
DECEDENT'S NAME
DONALD A GRAY
Judy Watts
FILE NUMBER
2107-0769
07141902
ITEM
SCHEDULE Np, EXPLANATION OF CHANGES
The above ACN was zeroed out since it was reported and paid on the Inheritance tax
return, and you wilt be receiving your refund in 4-6 weeks.
INHERITANCE TAX
EXPLANATION
OF CHANGES
Row Page 1