HomeMy WebLinkAbout11-13-09 (3)COM DO PARR MEN ~ OF REVENUEANIA
BUREAU OF inniv=DUn~ TAXES
INHERITANCE TAX DIVISION
pp BOX 2Bf1601
HARRISBURG PA 1712E-0601
-~~ '- INHERITANCE TAX
.RECORD ADJUSTMENT
_.J:~,INTLY_ HELD oR TRUST ASSETS
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LYNNE M FULLER `E _
1925 COLUMBIA AVEPA 17011
CAMP HILL
REV-1604 EX AFP (01 -09)
DATE 10-30-2009 LUELLA M
ESTATE OF MEYERS
DATE OF DEATH 21 08-0476
FILE NUMBER CUMBERLAND
COUNTY
SSN/DC 174-16-2425
ACN
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
CUT p~LONG THIS LINE
--------------------
REV-].604 EX AFP CO1-09) 10-30-2009
x~ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD ORDATEST ASSETS **
ESTATE OF MEYERS
FILE N0. 21 08-0476
ADJUSTMENT BASED ON:
FINANCIAL INSTITUTION:
LUELLA M DATE OF DEATH 04-03-2008
S.S/D.C. N0. 174-16-2425
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
ACN
THE FIRST NATL BANK OF MD ACCOUNT NO.
CUMBERLAND
99130000
59850647
TYPE OF ACCOUNT: ~ ) SA964GS (X) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 08-28 1
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Ta:c Due
TAX CREDITS:
.00
X 0.500
.00
.00
.00
X .15
.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."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE _ .00
F PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF IDDTOTALADUENISRREFLECTED AS A "CREDIT" tCR),
_ __ ~.... r,~~~, ci NO PAYMENT IS REQUIRED. __ -~
COUNTY