HomeMy WebLinkAbout12-17-08 (2)BUREAU OF I!;SI~':DUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
` INHERITANCE TAX
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
CLEF:;. ~r
~~F ' ~ ~~ '.~ ~'h
LINDA KLINGER
561 OLD ORCHARD LN
CAMP HILL PA 17011
REV-1604 EX AFP (03-05)
DATE 12-04-2008
ESTATE OF PETERSON MINNIE K
DATE OF DEATH 09-13-2007
FILE NUMBER 21 07-1109
COUNTY CUMBERLAND
SSN/DC 168-34-2100
ACN 07146322
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 C03-05)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE 12-04-2008
ESTATE OF PETERSON MINNIE K DATE OF DEATH 09-13-2007 COUNTY CUMBERLAND
FILE N0. 21 07-1109 S.S/D.C. N0. 168-34-2100 ACN 07146322
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1sT FCU ACCOUNT N0. 34999-11
TYPE OF ACCOUNT: C ) SAVINGS (X) CHECKING ( ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 01-31-1992
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
X 0.166
.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."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE ,p
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
C IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REpUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
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~7 R~ ~WV'~-~i.Y INHERITANCE TAX
- EXPLANATION
cor`~~r.ic:N~,•~EAI_r~I o_ F Fr ~1 ~ <r,_~,:~,ri~:.
oEPARrnaENroL~L~E~II11; OF CHANGES
BUREAU OF INDIVIDUAL I ~xE';
PO B~,r ~~,n~;~~ ~ ~~
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DE(;EDFNT'S NAtiIE
Minnie Peterson
..
REVIEWED BY
Department of
Revenue/ Emerson Luciano
FILE NU~~IE~l-R
2107-1109
AcN
07146322
ITEM EXPLANATION OF CHANGES
SCHEDULE NO.
The above referenced ACN has been reduced to zero, as this account
was reported on the probate return.
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