HomeMy WebLinkAbout08-14-09 (2)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
CLERs< ~-
~+ ORPhAN`~ ';Q; IRT
ANNE M RE'~~:^'~~'~'Y ~ C~`~ , ~A:
42 FOX FARM RD
PHILLIPSBURG NJ 08865
COMMONWEALTH ,OF PENNSYLVANIA
DEPARTMENT OF REVENUE
-
" INHERITANCE TAX
_ RECORD ADJUSTMENT
- -- _ :JO:INTLY HELD OR TRUST ASSETS
REV-1604 EX AFP CO1-09)
DATE 07-31-2009
ESTATE OF MYERS BARBARA L
DATE OF DEATH 03-25-2008
FILE NUMBER 21 08-0384
COUNTY CUMBERLAND
SSN/DC 201-18-4034
ACN 08138678
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
~Cv~ ~~~ ~ ~+ i~~'± IL~ { ~
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 07-31-2009
ESTATE OF MYERS BARBARA L DATE OF DEATH 03-25-2008 COUNTY CUMBERLAND
FILE N0. 21 08-0384 S.S/D.C. N0. 201-18-4034 ACN 08138678
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1sT FCU
ACCOUNT N0. 205867-41
TYPE OF ACCOUNT: C ) SAVINGS C ) CHECKING C ) TRUST CX) TIME CERTIFICATE
DATE ESTABLISHED 10-26-2007
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
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."
.00
X 0.500
.00
.00
.00
X .45
.00
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 81, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), (! ~i(
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ~ 1
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVIS~DN.
PO BOX 260601 - '
HARRISBURG PA 17128-0601
CLEPi; ~JF
ORPH~,~'S ~OJRT
ANNECUIb`.`(~;`'Nf-~REft}~''1-, pp,
42 FOX FARM RD
PHILLIPSBURG NJ 08865
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
------------------------------------------------------------------------------------------------------------------------------------------------------------------
REV-1604 EX AFP X01-09)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE 07-31-2009
ESTATE OF MYERS BARBARA L DATE OF DEATH 03-25-2008 COUNTY CUMBERLAND
FILE N0. 21 08-0384 S.S/D.C. N0. 201-18-4034 ACN 08138679
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS iST FCU ACCOUNT N0. 205867-05
COMMONWEALTH ,OF PENNSYLVANIA
DEPd-RTMENT OF REVENUE
INHERITANCE TAX
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
REV-1604 IX AFP (01-09)
DATE 07-31-2009
ESTATE OF MYERS BARBARA L
DATE OF DEATH 03-25-2008
FILE NUMBER 21 08-0384
COUNTY CUMBERLAND
SSN/DC 201-18-4034
ACN 08138679
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT: ( ) SAVINGS C ) CHECKING C ) TRUST (X) TIME CERTIFICATE
DATE ESTABLISHED 06-06-2001
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
.00
X 0.500
.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."
TAX CREDITS:
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.
C IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS RE4UIRED. 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) ~ F
INHERITANCE TAX
COMMONWEALTH OF PENNSYLVANIA EXPLANATION
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
PO Box. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME FILE NUMBER
Barbara L. Myers 2108-0384
REVIEWED BY ACN
Eunice Baker 08118678, 08138679
ITEM
SCHEDULE NO.
EXPLANATION OF CHANGES
The above accounts have been adjusted to zero as the accounts were reported on the
probate return.
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