HomeMy WebLinkAbout12-17-08 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
REV-1604 EX AFP C03-05)
DATE 12-11-2008
ESTATE OF MORTIMORE ELIZABETH C
DATE OF DEATH 02-24-2008
FILE NUMBER 21 08-0537
COUNTY CUMBERLAND
SSN/DC 540-30-2439
ACN 08004584
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
~.~-.r-.i ~-„-
EDWARD F MORTIMORE~~~f~ ~ :] _ ,,, ,
HAZEN ELDERLAW STE 20
2000 LINGLESTOWN RD
HBG PA 17110
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS F~
------------------------------------------------------------------------------------------------------------------------------------------------------------------
REV-1604 EX AFP C03-05)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE 12-11-2008
ESTATE OF MORTIMORE ELIZABETH C DATE OF DEATH 02-24-2008 COUNTY CUMBERLAND
FILE N0. 21 08-0537 S.S/D.C. N0. 540-30-2439
ACN 08004584
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK ACCOUNT N0. 5005250722
TYPE OF ACCOUNT: ( ) SAVINGS (X1 CHECKING C ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 06-04-1982
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
INHERITANCE TAX
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
?~`~i .~~G 9 ~ I'i'i ~:J: ~~
2,314.07 NOTE:
X 0.166
385.69
385.69
00
X .45
.00
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 .00 ~
^ 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),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
REV-1470 EX (E88)
.~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
DECEDENT'S NAME
REVIEWED BY
Elizabeth C Mortimore
Department of Revenue
NUMBER
2108-0537
08004584
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
Deductions were added to this acn.
INHERITANCE TAX
EXPLANATION
OF CHANGES
Row Page 1