HomeMy WebLinkAbout10-17-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF 'INDIVIDUAL TAXES INHERITANCE TAX
INHERITANCE TAX DIVISION RECORD ADJUSTMENT
Po Box 2aocol JOINTLY HELD OR TRUST ASSETS
HARRISBURG PA 17128-0601 REV-1604 EX AFP (03-05)
~e~ ~,~ , ~ , ~~ t ~~; ~..~~ DATE 10-08-2008
-- ESTATE OF DAVIS CARMELA
DATE OF DEATH 08-21-20D7
r-~ _. FILE NUMBER 21 07-0962
~, -,~ ~ COUNTY CUMBERLAND
PHYLLIS A DAVE i"'- ~ ;-',°~; SSN/DC 181-26-4406
ACN 07142765
512 LAMPOST LN
Amount Remitted
CAMP HILL PA 17011
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 (03-05)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE 10-08-2008
ESTATE OF DAVIS CARMELA DATE OF DEATH 0$-21-2007 COUNTY CUMBERLAND
FILE N'0. 21 07-0962 S.S/D.C. N0. 181-26-4406 ACN 07142765
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: COMMUNITY BANKS ACCOUNT N0. 148005138
TYPE OF ACCOUNT: C ) SAVINGS CX) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 05-24-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00 NOTE:
X 0.500
.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
TO: "REGISTER OF WILLS, AGENT."
PAYMENT
i)ATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
10-23-2007 CD008845• .00 269.60
TOTAL TAX CREDIT 269.60
BALANCE OF TAX DUE 269.60CR
INTEREST AND PEN. .00
TOTAL DUE 9.6 R
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR),
--~~~~- ~~~ DrvcocG srnE of THIS FORM FOR INSTRUCTIONS.)
C
REV- 1470 EX (6881
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Y Y
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BURE'.AU OF INDIVIDUAL TAXES
PO Box. 280601
DECEDENT'S NAME
Carmela M. Davis
BY
Eunice Baker
INHERITANCE TAX
EXPLANATION
OF CHANGES
FILE NUM
2107-0962
07142765
ITEM
SCHEDULE Np. EXPLANATION OF CHANGES
The above account has been adjusted to zero as the account was reported on the probate
return.
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