HomeMy WebLinkAbout09-18-09 (2)
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'> ~ :~:+. ' +, ~ r • `' ,?~` INHERITANCE TAX
` + f'' "~. Y , -; , ~; RECORD ADJUSTMENT
~`` ~~'~~~-++ ~' .10~7+ITLY HELD OR TRUST ASSETS
LU~~ J~(- ~ v ~i l ~~' '~f i7
CLERK 0~
~~++~~O~~~RPHA~d'a COi~~?T
TINA DEIB'L"E'R:Hr~~~~~•1~" ~~w)., PA.
1822 WILLOW ROAD
CAMP HILL PA 17011
REV-1604 EX AFP (01-09)
DATE 09-04-2009
ESTATE OF HALL VALDA J
DATE OF DEATH 04-05-2008
FILE NUMBER 21 08-0814
COUNTY CUMBERLAND
SSN/DC 201-18-5107
ACN 08128254
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND C:0 COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS 4-
REV-1604 EX AFP CO1-09)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS *~
DATE 09-b4-2009
ESTATE OF HALL VALDA J DATE OF DEATH 04-05-2008 COUNTY CUMBERLAND
FILE N0. 21 08-0814 S.S/D.C. N0. 201-18-5107 ACN 08128254
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. .9000-00
TYPE OF ACCOUNT: CX) SAVINGS C ) CHECKING ( ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 12-08-1966
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
X 0.500
.00
.00
.00
X .45
.00
NOTE: TO INSURE PROPER CREDIT TO YOUR
ACCOUNT, SUBMIT fiHE UPPER PORTION
OF THIS NOTICE WaTH YOUR TAX
PAYMENT TO THE R~CISTER OF WILLS
AT THE ADDRESS S~IOWN ABOVE.
MAKE CHECK OR MONEY ORDER PAYABLE
T0: "REGISTER 0~ 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 81, 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.)
-- _ I
d'`
REV-1070 E~ (6-88)
INHERITANCE TAX
EXPLANATION
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
PO Box 280601 ,
HARRISBURG PA 17126-0601
DECEDENTS NAME FILE NUMBER
Valda J. Hall 2108-0814
REVIEWED BY ACN
Joan Peters 08128254
ITEM
SCHEDULE Np. EXPLANATION OF CHANGES
The above referenced Account Control Number has been adjusted o zero since the joint
bank account was reported on the Inheritance Tax Return,.
Page 1