HomeMy WebLinkAbout10-09-09 (9)~-"
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~''~ ~ J~ ''• ' ' ' 'r~NHERITANCE TAX
~~h '~ ~ < ~ - '~ RE40RD ADJUSTMENT
":~bl'NTLY"HELD OR TRUST ASSETS
20~I9 OCT -9 ~H I I ~ 23
REV-1604 EX AFP (01-09)
DATE 10-02-2009
ESTATE OF REDDIN RUBY M
DATE OF DEATH 05-09-2009
FILE NUMBER 21 09-0735
COUNTY CUMBERLAND
SSN/DC 560-40-976
ACN 09005634
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CL~F~< r;
~:~! ! I
C~~r ~ ~~
LINDA BROWN -
205 FORREST KNOLL CT
WEAVERVILLE NC 28787
CUT ALONG THIS LINE ~--! RETAIN LOWER PORTION FOR YOUR RECORDS 4~
REV - 1 6 0 4 EX AFP C O 1- 0 9) ------------------------------------------------------------------ -----------------------------
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ~*
DATE 10-02-2009
ESTATE OF REDDIN RUBY M DATE OF DEATH 05-09-2009 COUNTY
CUMBERLAND
FILE N0. 21 09-0735 S.S/D.C. N0. 560-40-9766
ADJUSTMENT BASED ON: ACk 09005634
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: FIDELITY INVESTMENTS
ACCOUNT N0. X62-269654
TYPE OF ACCOUNT: C ) SAVINGS C ) CHECKING (X) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 05-09-2007
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
25,827.90
X 1.000
25,827.90
- .00
25,827.90
X .15
3,874.19
PAYMENT RECEIPT
DATE NUMBER
08-05-2009 CD011583
NOTE: TO INSURE PROPER CREDIT TO YOUR
ACCOUNT, SUBMIT 1~HE UPPER PORTION
OF THIS NOTICE WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS
AT THE ADDRESS SF~OWN ABOVE.
MAKE CHECK OR MONEY ORDER PAYABLE
T0: "REGISTER OF' WILLS, AGENT."
DISCOUNT (+)
INTEREST/PEN PAID C-)
193.71
AMOUNT PAID
3,680.48
TOTAL TAX CREDIT 3,874.19
BALANCE OF TAX DUE .00
INTEREST AND PEN.
.00
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTERES DUE
( IF TOTAL DUE IS LESS THAN #1, 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.)