HomeMy WebLinkAbout02-20-09 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~ ~.,;r~~ ,,.J ~ r '~~~ ' ~~ INHERITANCE TAX
INHERITANCE TAX DIYISION _ ~i RECORD ADJUSTMENT
Po eox 280601 ; ~.~ii,,~, .+"_~~ ~ ~ ~JE}fNTLY HELD OR TRUST ASSETS
HARRISBURG PA 17128-0601
~~U 1 { L~ ~ Li 1i~ ~ 4 ' G "'
C L~~,~~~ ~'~ ~
,.y '~'~
SANDRA KENN,~i~~-'-~'~~~~,'~~~__" `., _ , pr
109 SPRING GROVE RD
PGH PA 15235
REV-1604 EX AFP CO1-09)
DATE 02-11-2009
ESTATE OF GREENE MYRTLE E
DATE OF DEATH 11-11-2006
FILE NUMBER 21 07-0144
COUNTY CUMBERLAND
SSN/DC 013-03-0116
ACN 07137883
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 CO1-09)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE 02-11-2009
ESTATE OF GREENE MYRTLE E DATE OF DEATH 11-11-2006 COUNTY CUMBERLAND
FILE N0. 21 07-0144 S.S/D.C. N0. 013-03-0116
ACN 07137883
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT N0. 1055481806
TYPE OF ACCOUNT: ( ) SAVINGS ( ) CHECKING C ) TRUST CX) TIME CERTIFICATE
DATE ESTABLISHED 05-12-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
X 1.000
.00
.00
.00
X .15
.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 C+)
INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE (1~
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( 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.)
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~ ,~; ;~y~IERITANCE TAX
_~~ F FORD ADJUSTMENT
r,. ~~ ~,~O,~iN4',~.1L:IiELD OR TRUST ASSETS
LOQ9 FEB 20 AM I ! ~ 25
C~r~t~ ~~
OR~Ff~'~C`' ~ C~J~JRT
SANDRA KENNERD I~I `~'i~ ''~ .'n pr~
109 SPRING GROVE RD
PGH PA 15235
REY-1604 EX AFP CO1-09)
DATE 02-11-2009
ESTATE OF GREENE MYRTLE E
DATE OF DEATH 11-11-2006
FILE NUMBER 21 07-0144
COUNTY CUMBERLAND
SSN/DC 013-03-0116
ACN 07137884.
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 CO1-09~
** INHERITANCE TAX RECDRD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE 02-11-2009
ESTATE OF GREENE MYRTLE E DATE OF DEATH 11-11-2006 COUNTY CUMBERLAND
FILE N0. 21 07-0144 S.S/D.C. N0. 013-03-0116 ACN 07137884
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT N0. 1055481780
TYPE OF ACCOUNT: C ) SAVINGS ( ) CHECKING C ) TRUST CX) TIME CERTIFICATE
DATE ESTABLISHED 05-12-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00 NOTE:
X 1.000
.00
_ nn
.00
X .15
.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 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.
C 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.)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
j~^~ ,~':'~ YR-3F~NCE TAX
~~'' '-4tE~0 a ADJUSTMENT
3b';I~~~Y~fHE'4~p-'~bR TRUST ASSETS
REV-1604 EX AFP CO1-09)
7~Qg ~~~ 2~ ~ ~ ~ " Z~TATE OF GREENE2009 MYRTLE E
DATE OF DEATH 11-11-2006
~~; ~•~,r FILE NUMBER 21 07-0144
~~`~'~'~ ~" COUNTY CUMBERLAND
~~F~~`rv~ v`.~f~~i SSN/DC 013-03-0116
SANDRA KENNERDELL Cf;(~-j='~r '~;~ ."'r ~~ pCN 07137885
109 SPRING GROVE RD
PGH PA 15235
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 CO1-09)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE 02-11-2009
ESTATE OF GREENE MYRTLE E DATE OF DEATH 11-11-2006 COUNTY CUMBERLAND
FILE N0. 21 07-0144 S.S/D.C. N0. 013-03-0116 ACN 07137885
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK
ACCOUNT N0. 1055481798
TYPE OF ACCOUNT: C ) SAVINGS C ) CHECKING C ) TRUST CX) TIME CERTIFICATE
DATE ESTABLISHED 05-12-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
)( 1.000
.00
.00
.00
X .15
.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 (-) 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.
C 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.)
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES h~ ~"~~~ ~~1 ' ~~{ '~ ~,~` INHERITANCE TAX
INHERITANCE TAX DIYISIDN , ' ' S' RECORD ADJUSTMENT
PO BOX 280601 ~~.r~ ~~~ ~R, ,,a J'DINTLY HELD OR TRUST ASSETS
FWRRISBURG PA 17128-0601
Ltit]7 { ~S] ~O ~~'~' `~
~~ ~r~ cr-
ORPh~.~,,~' S, ~;.~t~RT
SANDRA KENN ~~ '' - ^-~ ~ ~~~
~~.~ ..
109 SPRING GROVE RD
PGH PA 15235
REV-1604 EX AFP CO1-09)
DATE 02-11-2009
ESTATE OF GREENE MYRTLE E
DATE OF DEATH 11-11-2006
FILE NUMBER 21 07-0144
COUNTY CUMBERLAND
SSN/DC 013-03-0116
ACN 07137886
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 COl-09)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE 02-11-2009
ESTATE OF GREENE MYRTLE E DATE OF DEATH 11-11-2006 COUNTY CUMBERLAND
FILE N0. 21 07-0144 S.S/D.C. N0. 013-03-0116 ACN 07137886
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT N0. 1055481772
TYPE OF ACCOUNT: C ) SAVINGS ( ) CHECKING C ) TRUST (X) TIME CERTIFICATE
DATE ESTABLISHED 05-12-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
X 1.000
.00
.00
.00
X .15
.00
NOTE: TO INSURE PROPER CREDIT TO YOUR
ACCOUNT, SUBMIT THE UPPER PORTION
OF THIS NOTICE WITH YOUR TAX
PAYMENT TO THE REGISTER DF 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 ~~
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. i~
IF TOTAL DUE IS LESS THAN 81, 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.)
REV-1470 EX (688)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box. 280601
HARRISBURG. PA 17128-0601
INHERITANCE TAX
EXPLANATION
OF CHANGES
DECEDENTS NAME FILE NUMBER
Myrtle E. Greene 2107-0144
REVIEWED BY ACN
Eunice Baker 07137883, 07137884,
07137885,07137886
ITEM EXPLANATION OF CHANGES
SCHEDULE NO.
The above accounts have been adjusted to zero as the accounts were reported on the
probate return.
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