HomeMy WebLinkAbout11-07-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~ ~ ',' ~'v! ~-''..INHERITANCE TAX
INHERITANCE TAX DIVISION ~ "' 'RECORD ADJUSTMENT
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HARRISBURG PA 17128-0601
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REV-1684 EX AFP (03-05)
DATE 10-30-2008
ESTATE OF DRAGOVAN ANNA T
DATE OF DEATH 11-24-2007
FILE NUMBER 21 08-0494
COUNTY CUMBERLAND
SSN/DC
ACN 08106459
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
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 10-30-2008
ESTATE OF DRAGOVAN ANNA T DATE OF DEATH 11-24-2007 COUNTY CUMBERLAND
FILE N0. 21 08-0494 S.S/D.C. N0. 179-10-5895 ACN 08106459
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: M&T BANK ACCOUNT N0. 29091489
TYPE OF ACCOUNT: C ) SAVINGS CX) CHECKING C ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 06-28-1982
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
5,804.25
X 0.500
2,902.13
1,412.80
1,489.33
X .12
178.72
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 (+)
INTEREST/PEN PAID (-) AMOUNT PAID
04-14-2008 CD009652 .00 178.72
C
TOTAL TAX CREDIT 178.72
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE 0
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),
--- --- -~•.~..~~ crnr n~ TLJTC FARM FOR INSTRUCTIONS.)
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box. 280601
HARRISBURG.. PA 17128-0601
INHERITANCE TAX
EXPLANATION
OF CHANGES
DECEDENT'S NAME FILE NUMBER
Anna T. Dragovan 2108-0494
REVIEWED BY ACN
Eunice Baker 08106459
ITEM EXPLANATION OF CHANGES
SCHEDULE NO.
The deductions submitted have been approved. There is no tax due on this account.
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