HomeMy WebLinkAbout06-19-09 (2)' COMMONWEALTH OF PENNSYLVANIA
- -„-a6.RpRTMfH~' ,0!F REVENUE
_ ,~`
~~NI~Eg~TANCE TAX
BUREAU OF INDIVIDUAL TAXES ._ ~ REC~k1RD~'ADJUSTMENT
INHERITANCE TAX DIVISION JOINTLY HELD OR TRUST ASSETS
PO BOX 280601 (3~o~Q REV-1604 EX AFP (01-09)
HARRISBURG PA 17128-0601 2~~7 ~~~ ~ 7 I F ~ ~! ATE
05-29-2009
ESTATE OF LITTLE BETTE D
~~E~K(a~ DATE OF DEATH 04-03-2008
0~~~-~~C~~~ ~~~~? FILE NUMBER 21 08-0459
vLjp.- a ~., ,~ r~ ~~OUNTY CUMBERLAND
' SSN/DC
JACQUELIN K COYLE ACN 08124062
1213 MALLARD RD Amount Remitted
CAMP HILL PA 17011-1222
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE -'-1 RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1604 EX AFP CO1-09)
~* INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE 05-29-2009
ESTATE OF LITTLE BETTE D DATE OF DEATH 04-03-2008 COUNTY CUMBERLAND
FILE N0. 21 OS-0459 S.S/D.C. N0. 168-14-2609
ACN 08124062
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU
ACCOUNT N0. 0168142609-S7
TYPE OF ACCOUNT: CX) SAVINGS C ) CHECKING C ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 04-13-2007
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
62,245.14 NOTE:
X 0.500
31,122.57
.00
31,122.57
X .45
1,400.52
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
05-30-2008 CD009822 70.03 1,330.49
TOTAL TAX CREDIT 1,400.52
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. fl
C IF TOTAL DUE IS LESS THAN S1, 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.)
R.EV-14)0 EX (688)
INHERITANCE TAX
EXPLANATION
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME FILE NUMBER
Clarence Hockenberry 1007-0713
REVIEWED BY ACN
Scott Ellison 07501212
ITEM
SCHEDULE NO, EXPLANATION OF CHANGES
The above asset was reported and paid on the probate return. An adjustment has been
made to reflect this correction.
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