HomeMy WebLinkAbout02-05-10INHERITANCE TAX
RECORD ADJUSTMENT
~ ,y~-~~t~~,NTLY HELD OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES- ;y~I ~` e -. ~
INHERITANCE TAX DIVISION r:~.~~,-;
BOX 280601
GLENN U DATE OF DEATH: 10-02-2008
PO
HARRISBURG PA nlz8-o6B1 '~ DATE 02-03-2010 U
2010FEB_5 AH~~• 0
C~.~~~ ~~
MARY R Y
216 RIDGE HILL RD
MECHANICSBURG PA 17050
YOHN GLENN
ESTATE OF
DATE OF DEATH 10-02-2008
70 0388598 r Z~. ~~--U~dZ
FILE NUMBER CUMBERLAND
COUNTY
SSN/DC 201-18-7115
ACN 09102704
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
~ RETAIN LOWER PORTION FOR YOUR RECORDS F"
TH I S L I N E ---------------------------------
CUT ALONG °----- '-'
-----------
REV-1604 EX AFP C12-09) 02-03-2010
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD ORneTEST ASSETS *~
ESTATE OF: YOHN
FILE NO.: 70 0388598
n w [• C 11 rl
m r. N0.:201-18-7115
pennsylvania ~
DEPARTMENT OF REVENUE
REV-1604 EX AFP (12-09)
COUNTY: CUMBERLAND
ACN: 09102704
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATtun
FINANCIAL INSTITUTION: WACHOVIA BK NA
ACCOUNT N0.:247412091878653
TYPE OF ACCOUNT: C ) SAVINGS C ) CHECKING C ) TRUST C ~ TIME CERTIFICATE
DATE ESTABLISHED 01-06-2003 RE PROPER CREDIT TO YOUR
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
0.500
X .00
.00
.00
.00
X .00
PAYMENT RNUMBER
DATE
NOTE: TO ENSU
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."
DISCOUNT (+) I AMOUNT PAID
INTEREST~pFN PAID C-)
TOTAL TAX PAYMENT .vu
BALANCE OF TAX DUE 0
INTEREST AND PEN. 0
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR EE REVERSE S DE DOFTTHISLFORMEFORTINSTRUCTIONS IS REFLECTED AS A
"CREDIT" CCR), YOU MAY BE DUE A REFUND.