HomeMy WebLinkAbout11-14-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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BUREAU OF INDIVIDUAL TAXES ~ '' 1 ~ ~ { -~- INHERITANCE TAX
INHERITANCE TAX DIVISION - RECORD ADJUSTMENT
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416 PROWELL DR
CAMP HILL PA 17011
CUT ALONG THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS !-~
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REV-1604 EX AFP C03-05)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE 11-10-2008
ESTATE OF KRACZYK HELEN L DATE OF DEATH 09-18-200i' COUNTY CUMBERLAND
FILE N0. 21 08-0395 S.S/D.C. N0. 180-01-8350 ACN 08111008
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: Fox CHASE BANK ACCOUNT N0. 240847212
X008 NQ~ 14 A'~ ! I ~ 23
DATE 111-10-2008
ESTATE OF KRACZYK HELEN L
DATE OF DEATH 09-18-2007
FILE NUMBER 21l 08-0395
COUNTY CUMBERLAND
SSN/DC 180-01-8350
ACN 08111008
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND (:0 COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT: C ) SAVINGS ( ) CHECKING C ) TRUST CX) TIME CERTIFICATE
DATE ESTABLISHED 02-13-1991
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
.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."
TAX CREDITS:
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.
( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM 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
Helen L. Kraczyk 2108-0395
REVIEWED BY ACN
Eunice Baker 08111008
ITEM
SCHEDULE NO, EXPLANATION OF CHANGES
The above account has been adjusted to zero as the account was reported on the probate
return.
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