HomeMy WebLinkAbout12-01-08 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF '[NDIVIDUAL TaxES - `` I~'~ERITANCE TAX
INHERITANCE TAX DIVISION RECORD ADJUSTMENT
Po Box zao6ol (- JOIN'~~Y HELD OR TRUST ASSETS
HARRISBURG PA 17128-0601 - REV-1604 EX AFP (03-05)
'"~1~ ~' ,~ DATE 11-21-2008
~~~J-i ~``~ r ! ~'~~ ~' ~~ ESTATE OF SHANNON MARION P
DATE OF DEATH 05-31-2007
~^~~ rry f ~-~~,~- FILE NUMBER 21 07-0597
,~ ,;;':` :.,, ,;~~ COUNTY CUMBERLAND
JUDY S COOK `~~' _ SSN/DC 202-20-6926
ACN 07129747
2:L 07 E COVENTRY LN
Amount Remitted
ENOLA PA 17025
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 E-
REV-1604 EX AFP C03-05)
** 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 07129747
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: BANK OF LANDISBURG ACCOUNT N0. 061379420
TYPE OF ACCOUNT: CX) SAVINGS C ) CHECKING C ) 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
00
X 0.500
.00
.00
.00
}( . 4 5
.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 t;REDITS:
PAV'MENT
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 0
~ 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" CCR),
--- --••~~~~ o*nr nc ruts FORM FOR INSTRUCTIONS.)
.E`1-I-0%~~ Ex ~>98~
~~~==~~ INHERITANCE TAX
EXPLANATION
COMtv10NVVFALTH _)F PENNSYLVANIA
DEPART(L7EN7 OF P,EVEIdUE
BUREAU OF INDIVIDUAL TAXES
PO E~ox 2°060
HARRISBUP.G. PA 1 ~ 128-0601
DECEDENT'S NP,N1E
Marion P. Shannon
OF CHANGES
FILE NUMQER
2107-0597
REVIEWED BY
Eunice Baker _ i 07129746, 07129747
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
The above accounts have been adjusted to zero as the accounts were reported on the
probate return.
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