HomeMy WebLinkAbout12-01-08 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF 'CNDIVIDUAL TAxES ~ - ,,INHERITANCE TAX
INHERITANCE TAX DIVISION RECORD ADJUSTMENT
Po sox zsocol -._., _, ~! JQdNTLY HELD OR TRUST ASSETS
HARRISBURG PA 17128-0601
~u ;;i 1;vf~ I F'!"l ~~ ~~2
Inl [ri~r (,.r
~ ~!~ ~~ ''~ r..-
JUDY S COOK ~~ ~ ~ ~ ,'_~
2107 E COVENTRY LN
ENIOLA PA 17025
REV-1604 EX AFP (03-057
DATE 11-21-2008
ESTATE OF SHANNON MARION P
DATE OF DEATH 05-31-2007
FILE NUMBER 21 07-0597
COUNTY CUMBERLAND
SSN/DC 202-20-6926
ACN 07129746
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 11-21-2008
ESTATE OF SHANNON MARION P DATE OF DEATH 05-31-2007 COUNTY CUMBERLAND
FILE N0. 21 07-0597 S.S/D.C. N0. 202-20-6926 ACN 07129746
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANC]:AL INSTITUTION: BANK of LANDISBURG ACCOUNT N0. 2613794
TYPE OF ACCOUNT: C ) SAVINGS (X) CHECKING ( ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 06-28-1996
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CRE=DITS
.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."
PAYMEINT
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 .00
* IF PA][D AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
C IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
..~~~ ...v ar nnr w orcnun crr ocvrocr cTnr nC TLJTC CnRM FnR TNSTRIICTTONS_]