HomeMy WebLinkAbout10-17-08B~1RcAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
RECORD ADJUSTMENT
-JOINTLY HELD OR TRUST ASSETS
,~ - - --
~„ '
_.
HOWARD L FOOSE'
AI'T 506
335 WESLEY DR
MF_CHANICSBURG PA 17055
REV-1604 IX AFP C03-05)
DATE 10-06-2008
ESTATE OF FOOSE LYDIA V
DATE OF DEATH 08-07-2007
FILE NUMBER 21 07-0778
COUNTY CUMBERLAND
SSN/DC 199-07-3289
ACN 07140479
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 E~
REV-1604 EX AFP C03-05)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE 10-06-2008
ESTATE OF FOOSE LYDIA V DATE OF DEATH 08-07-2007 COUNTY CUMBERLAND
FILE N0. 21 07-0778 S.S/D.C. N0. 199-07-3289 ACN 07140479
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK
ACCOUNT N0. 0575134614
TYPE OF ACCOUNT: C ) SAVINGS C ) CHECKING C ) TRUST (X) TIME CERTIFICATE
DATE ESTABLISHED 01-16-1990
Account Balance
Percent Taxable
Amount 'Subject to Tax
Debts aind 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
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 S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), ~
..~~~ ..~~, ar nnr n ocriiun crr RCVFRSF SrnF OF THTS FORM FOR INSTRUCTIONS.)