HomeMy WebLinkAbout09-05-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF „i~DIVIDUAL TAXES
INHERITANCE TAX DI'd4SION
PO BOX 280601
HARRISBURG PA 17128-0601
` ~~~, , ,°.n r,-~;~IWF.I,2ITANCE TAX
~- ~ •~`~~'~G~RD ADJUSTMENT
,-; a JIOIN~TCY~,:`IIE.LD OR TRUST ASSETS
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r~ CLEF~< ~~
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ALFRED L WHITCOMB CUB:`' `'~ `, (~ ~ 'j., ~h
1 DONALD ST
MECHANICSBURG PA 17055
REV-1604 EX AFP (03-05)
DATE 08-27-2008
ESTATE OF WHITMOYER JANE S
DATE OF DEATH 07-10-2007
FILE NUMBER 21 07-0678
COUNTY CUMBERLAND
SSN/DC 201-16-5681
ACN 07136217
Amount Remitted
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 (03-05)
~(* INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ~*
DATE 08-27-2008
ESTATE OF WHITMOYER JANE S DATE OF DEATH 07-10-2007 COUNTY CUMBERLAND
FILE N0. 21 07-0678 S.S/D.C. N0. 201-16-5681
ACN 07136217
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: FULTON BANK ACCOUNT N0. 3621-94076
TYPE OF ACCOUNT: ( ) SAVINGS (X) CHECKING ( ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 05-13-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
X 0.500
.00
.00
.00
X .15
.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 (-) 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.
( IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REgUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
REV-1470 EX (6-88)
F1
.• ~~,K
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box. 280601
HARRISBURG. PA 17128-0601
DECEDENT'S NAME
Jane S. Whitmoyer
REVIEWED BY
Eunice Baker
FILE NUR46ER
2107-0678
07136217
ITEM
SCHEDULE NO, EXPLANATION OF CHANGES
The above account has been adjusted to zero as the account was reported on the probate
return.
INHERITANCE TAX
EXPLANATION
OF CHANGES
Row Page 1