HomeMy WebLinkAbout08-15-08.~ ~. COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
,_,_-
BUREAU OF INDIVIDUAL TAXES - - `INHERITANCE TAX
INHERITANCE TAX DIVISION RECORD ADJUSTMENT
PD sox zsoesl JOINTLY HELD OR TRUST ASSETS
HARRISBURG PA 17128-0601
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LORRAINE POTOCHI~E~ ` ~ `" `
819 LINWOOD ST
NEW CUMBERLAND PA 17070
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION F R YOUR RECORDS ~
REV-1604 EX AFP (03-05)
** INHERITANCE T AX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE 08-06-2008
ESTATE OF POTOCHNEY MICHAEL DATE OF DEATH 02-09-2008 COUNTY CUMBERLAND
FILE N0. 21 08-0188 S.S/D.C. N0. 170-12-471 ACN 08117002
ADJUSTMENT BASED ON: ADMINISTRATIVE C RRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK
~'~~~ A~aG i ~ P~~ E ~ 46
REV-1604 EX AFP (03-05)
DATE 08-06-2008
ESTA E OF POTOCHNEY MICHAEL
DATE OF DEATH 02-09-2008
FILEiNUMBER 21 08-0188
COON Y CUMBERLAND
SSN/ C 170-12-4717
ACN 08117002
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT: ( ) SAVINGS ( ) CHECKING ( ) TR
DATE ESTABLISHED 07-19-1999
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
.00
X u.~uu
.00
.00
.00
X .45
.00
NOTE:
TAX CREDITS:
ACCOUNT N0. 2335251399
(X) TIME CERTIFICATE
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
ALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDIT ONAL INTEREST.
C IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED. IF TO AL DUE IS REFLECTED AS A "CREDIT" CCR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INS RUCTIONS.)
.-
REV-1470 Ex (6-88)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box. 280601
Michael Potochney
FILE NUMBER
2108-0188
REVIEWED BY i ACN
Eunice Baker 08117002
SCHEDULE I INO I EXPLANATION OF CHANGES
The above account has been adjusted to
return.
INHERITANCE TAX
EXPLANATION
OF CHANGES
The account was reported on the probate
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