HomeMy WebLinkAbout08-14-09 (4)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
LAVON M NOGGLE
322 PITT ST
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
IMHERITANCE TAX
R(-,~~OR',D,,,ADJ USTMENT
JOINTLY HttELD OR TRUST ASSETS REV-1684 Ex AFP cBl-o9)
`t 1~ ~,?,,,y + 1 ' DATE 07-29-2009
ESTATE OF SHEFFER PAULINE S
c~ EFL ~`~_ DATE OF DEATH 06-14-2008
,-,.,, ~^ FILE NUMBER 21 08-0745
ORPH~R ~ ~'-~~•~~~.','~~~. COUNTY CUMBERLAND
-~',~`?`_?;`:~ ~ -' ~'~, SSN/DC 174-05-2754
cun~~ -
CARLISLE PA 17013
ACN 08149125
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 07-29-2009
ESTATE OF SHEFFER PAULINE S DATE OF DEATH 06-14-2008 COUNTY CUMBERLAND
FILE N0. 21 08-0745 S.S/D.C. N0. 174-05-2754 ACN 08149125
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BK ACCOUNT N0. 2895372700
TYPE OF ACCOUNT: C ) SAVINGS C ) CHECKING C ) TRUST CX) TIME CERTIFICATE
DATE ESTABLISHED 04-16-2003
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
.00
.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 RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-29-2008 CD010700 .00 84.99
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
84.99
84.99CR
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. /'~
( IF TOTAL DUE IS LESS THAN 81, ND 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 (8-SB)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
Pauline S. Sheffer
Jennifer Schaefer
ITEM
SCHEDULE NO.
INHI-RIT~NCE TAX
EXPLANATION
OF CHANGES
EXPLANATION OF CHANGES
Reported on probate return. Refund in process.
2108-0745
08149125
Row Page 1