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HomeMy WebLinkAbout04-05-10 (2)INHERITANCE TAX R~,CORD ADJUSTMENT _,r~;-• d,0~i~~1'IL~~HELI~ OR TRUST ASSETS BUREAU OF INDIVIDUAL TAXES ~~`' ..t :' ' _ ~ ~ '` '=- INHERITANCE TAX DIVISION PO BOX 280601 ~ -• ..u ~ •_ ~ ~ - i,',, ,~t~. , HARRISBURG PA 17128-0601 ~~40 APB -S ~~ ~~ 5~ ~~~r:K ~~,, ~~~RT p~Pr~~~~~ ? ~ ~,;- SARAH F CLAPSAD ~:;~~ ;-~'_r . ? ~-~'~~-~ `'~~ ~~ , .. 1062 FEATHER DRIVE DELTONA FL 32725 pennsylvania ~ DEPARTMENT OF REVENUE REV-1604 IX AFP (12-09) DATE 03-19-2010 ESTATE OF REDDIN RUBY M DATE OF DEATH 05-09-2009 FILE NUMBER 21 09-0735 COUNTY CUMBERLAND SSN/DC 560-40-9766 ACN 09005630 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~-~' ------------------------------------------------------------------------------------------------------------------------- REV-1604 EX AFP C12-09~ ** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ** DATE: 03-19-2010 ESTATE OF: REDDIN RUBY M DATE OF DEATH: 05-09-2009 COUNTY: CUMBERLAND FILE NO.: 21 09-0735 S.S/D.C. N0.:560-40-9766 ACN: 09005630 ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: FIDELITY INVESTMENTS ACCOUNT N0.: X62-269654 TYPE OF ACCOUNT: C ) SAVINGS C ) CHECKING CX) 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: .00 X 1.000 .00 - .00 .00 X .15 .00 NOTE: TO ENSURE 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 DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~~ REV-1470 EX (01-10) enns lvania p Y , NHE~tITANCE TAX DEPARTMENT OF REVENUE EXPLANATION BUREAU OF INDIVIDUAL TAXES OF CHANGES PO Box 280601 RRI B R PA 1 128-06 1 DECEDENT'S NAME FILE NUMBER Ruby M. Reddin 2109-0735 REVIEWED BY ACN Joan M. Peters 09005630 ITEM SCHEDULE Np, EXPLANATION OF CHANGES The above referenced Account Control Number has been adjusted to zero since the joint bank account was listed on the Inheritance Tax Return. ROW Page 1 INHERITANCE TAX RECORD ADJUSTMENT ,;•,-, ;-,~`,~ a~~T;~ r~IELD OR TRUST ASSETS BUREAU OF INDIVIDUAL TAXES I ~ . ;i ~!i ,Y t,,,`?' INHERITANCE TAX DIVISION ~ ~ ,i{ PO BOX 280601 -~. ~_~!~.. .~:_~` ,y~-_ ,.`.'i? HARRISBURG PA 17128-0601 L#~ ~i t~ "J r!-! ~• UU I.~LCI~? ~ } ,~ ~ F f"` ~~Pt-i~,~`~3~~ ~~-~4~j~ EUGENE R CLAPSA~r~F =~" ~'s''`ri ~~~ , PA, 1062 FEATHER DRIVE DELTONA FL 32725 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1604 EX AFP (12-09) DATE 03-19-2010 ESTATE OF REDDIN RUBY M DATE OF DEATH 05-09-2009 FILE NUMBER 21 09-0735 COUNTY CUMBERLAND SSN/DC 560-40-9766 ACN 09005631 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ -------------------------------------------------------------------------------------------------------------------------------- REV-1604 EX AFP C12-09~ ** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ~* DATE: 03-19-2010 ESTATE OF: REDDIN RUBY M DATE OF DEATH: 05-09-2009 COUNTY: CUMBERLAND FILE NO.: 21 09-0735 S.S/D.C. N0.:560-40-9766 ACN: n9nn~~~ ~-i,.-u~ I I'ItIV I 13AStll ON : ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: FIDELITY INVESTMENTS ACCOUNT N0.: X62-269654 TYPE OF ACCOUNT: C ) SAVINGS ( ) CHECKING CX) TRUST ( ) 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: P DATENT I RNUMBER .00 X 1.000 .00 - .00 .00 X .12 .00 DISCOUNT C+) INTEREST/PEN PAID C-) NOTE: TO ENSURE 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." AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~1~~ REV-1470 EX (01-10) ~ enns .Lvan~a p Y INHERITANCE TAX DEPARTMENT OF REVENUE EXPLANATION BUREAU OF INDIVIDUAL TAXES OF CHANGES PO Box 280601 R I R PA 17 8-06 1 DECEDENT'S NAME FILE NUMBER Ruby M. Reddin _ 2109-0735 REVIEWED BY ACN Joan M. Peters 09005631 ITEM SCHEDULE NO. EKPLANATION OF CHANGES The above referenced Account Control Number has been adjusted to zero since the joint bank account was listed on the Inheritance Tax Return. r ROVN' Page 1 INHERITANCE TAX RECORD ADJUSTMENT .; ~ . -,r,.~Q~~~k.~" HELY~ OR TRUST ASSETS BUREAU OF INDIVIDUAL TAXES ~-: ` -~ _ I ' „ ~ '~ ;~, INHERITANCE TAX DIVISION : j; ,~ PO BOX 280601 - `~ HARRISBURG PA 17128-0601 ~L~ ~~ t'~ ~i'~ pRPN,~~ ~ ~~~..~R~~ MAUREEN CLEV~1~~' ,`~,' j ~~;~~ ; Pry 130 HICKORY STICK COURT DEBARY FL 32713 pennsylvania ~ DEPARTMENT OF REVENUE REV-1604 IX AFP C12-09) DATE 03-19-2010 ESTATE OF REDDIN RUBY M DATE OF DEATH 05-09-2009 FILE NUMBER 21 09-0735 COUNTY CUMBERLAND SSN/DC 560-40-9766 ACN 09005632 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS E~- ----------------------------------------------------------------------------------------------------------------------------------- REV-1604 EX AFP C12-09~ ** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS *~ DATE• 03-19-2010 ESTATE OF: REDDIN RUBY M DATE OF DEATH: 05-09-2009 COUNTY: CUMBERLAND FILE NO.: 21 09-0735 S.S/D.C. N0.:560-40-9766 ACN: 09005632 ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: FIDELITY INVESTMENTS ACCOUNT N0.: X62-269654 TYPE OF ACCOUNT: C ) SAVINGS ( ) CHECKING CX) 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: .00 X 1.000 .00 - .00 .00 X .15 .00 NOTE: TO ENSURE 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 DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~vv~ REV-1470 EX (01-10) ~ pE't111S~/~VC~1'~1C~ INHERITANCE TAX DEPARTMENT OF REVENUE EXPLANATION BUREAU OF INDIVIDUAL TAXES OF CHANGES PO Box 280601 H R R PA 171 8-0601 DECEDENT'S NAME FILE NUMBER Ruby M. Reddin 2109-0735 REVIEWED BY ACN Joan M. Peters 09005632 ITEM SCHEDULE NO, EXPLANATION OF CHANGES The above referenced Account Control Number has been adjusted to zero since the joint bank account was listed on the Inheritance Tax Return. Row Page 1 INHERITANCE TAX RE ORD ADJUSTMENT ,_. ,,,~ . ~I-QI~W'~1M1 ~ELD OR TRUST ASSETS BUREAU OF INDIVIDUAL TAXES _ _ ~ •~. ~.. INHERITANCE TAX DIVISION - ~~ PO BOX 280601 ' ~ - _ HARRISBURG PA 17128-0601 ~ `"``~ 'r ~~ ~~~ ~~ ~~ ~l~~ '~ ~~ t"'1,,.~F ~~ j ~~i~i1~ I~r~~V ~7 1...,t~~ii_ii 1 1 E D BAT E MA(~ ~hx ; ~ I- -~! _' rte; 4 `; '` ~t~, 1667 STERLING SILVER DR DELTONA FL 32725 pennsylvania ~ DEPARTMENT OF REVENUE REV-1b04 EX AFP C12-09) DATE 03-19-2010 ESTATE OF REDDIN RUBY M DATE OF DEATH 05-09-2009 FILE NUMBER 21 09-0735 COUNTY CUMBERLAND SSN/DC 560-40-9766 ACN 09005633 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS F- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ REV-1604 EX AFP C12-09) ** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ** DATE: 03-19-2010 ESTATE OF: REDDIN RUBY M DATE OF DEATH: 05-09-2009 COUNTY: CUMBERLAND FILE NO.: 21 09-0735 S.S/D.C. N0.:560-40-9766 ACN: 09005633 ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: FIDELITY INVESTMENTS ACCOUNT N0.: X62-269654 TYPE OF ACCOUNT: C ) SAVINGS C ) CHECKING CX) 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: .00 X 1.000 .00 - .00 .00 X .15 .00 NOTE: TO ENSURE 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 DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 11-04-2009 REFUND .00 15.52- INTEREST IS CHARGED THROUGH 04-05-2010 TOTAL TAX PAYMENT 15.52CR AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 15.52 REVERSE SIDE OF THIS FORM INTEREST AND PEN. .09 TOTAL DUE * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~~. REV-1470 EX (Ot-10) erns Lvania P Y DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME Ruby M. Reddin REVIEWED BY Joan M. Peters ~. INHERITANCE TAX EXPLANATION OF CHANGES FILE NUMBER 2109-0735 09005633 ITEM SCHEDULE NO. EXPLANATION OF CHANGES The above referenced Account Control Number has been adjusted to zero since the joint bank account was listed on the Inheritance Tax Return. Row Page 1 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 INHERITANCE TAX :C(3RL~ ADJUSTMENT - • - ~- JOI NTt Y HELb OR TRUST ASSETS { Z~1~O~P _J ~ ~~ 00 r~O ~~~~ ~ ~~:: LINDA BROWN (;~~.~~'~ ~= t 'm~ ~ ~ ~~ . ~'A. 205 FORREST KNOLL CT WEAVERVILLE NC 28787 pennsylvania ~ DEPARTMENT OF REVENUE REV-1604 EX AFP (12-09) DATE 03-19-2010 ESTATE OF REDDIN RUBY M DATE OF DEATH 05-09-2009 FILE NUMBER 21 09-0735 COUNTY CUMBERLAND SSN/DC 560-40-9766 ACN 09005634 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ --------------------------------------------------------------------------------------------------------------------- REV-1604 EX AFP C12-09~ ** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ** DATE: 03-19-2010 ESTATE OF: REDDIN RUBY M DATE OF DEATH: 05-09-2009 COUNTY: CUMBERLAND FILE NO.: 21 09-0735 S.S/D.C. N0.:560-40-9766 ACN: 09005634 ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: FIDELITY INVESTMENTS ACCOUNT N0.: X62-269654 TYPE OF ACCOUNT: C ) SAVINGS C ) CHECKING CX) TRUST ( ) 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: .00 X 1.000 .00 .00 .00 X .15 .00 NOTE: TO ENSURE 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 DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. INHERITANCE TAX REC RD ADJUSTMENT .,; ,~~ ~ JOIN~CY H LD OR TRUST ASSETS BUREAU OF INDIVIDUAL TAXES '_ ~ -' '~~~ ' i~~f~~~. ^~" INHERITANCE TAX DIVISION -~ ~ "-"'~- ~~'~' PO BOX 280601 °,, - ;'y ~~~ L HARRISBURG PA 17128-0601 ,~ ~ `' ' `'' _ ,; ' SU PITZ~~~~R~=`~ ' ~~~ ~~~, 8 BLUE GILL TRAIL FAIRFIELD PA 17320 pennsylva~ia ~ DEPARTMENT OF REVENUE REV-1604 EX AFP C12-09) DATE 03-19-2010 ESTATE OF REDDIN RUBY M DATE OF DEATH 05-09-2009 FILE NUMBER 21 09-0735 COUNTY CUMBERLAND SSN/DC 560-40-9766 ACN 09005635 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ------------------------------------------------------------------------------------------------------------------------------------------------------------------ REV-1604 EX AFP C12-09~ ** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ** DATE: 03-19-2010 ESTATE OF: REDDIN RUBY M DATE OF DEATH: 05-09-2009 COUNTY: CUMBERLAND FILE NO.: 21 09-0735 S.S/D.C. N0.:560-40-9766 ACN: 09005635 ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: FIDELITY INVESTMENTS ACCOUNT N0.: X62-269654 TYPE OF ACCOUNT: C ~ SAVINGS C ~ CHECKING CX) 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: .00 X 1.000 .00 _ .00 .00 X .15 .00 NOTE: TO ENSURE 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 DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~^'~ REV-1470 EX (01-10) ~ pE~l'l11$J/~Va111C'~ INHERITANCE TAX DEPARTMENT OF REVENUE EXPLANATION BUREAU OF INDFVIDUAL TAXES OF CHANGES PO Box 280601 PA 17128-0601 DECEDENT'S NAME FILE NUMBER Ruby M. Reddin 2109-0735 REVIEWED BY ACN Joan M. Peters 09005635 ITEM SCHEDULE NO, EXPLANATION OF CHANGES The above referenced Account Control Number has been adjusted to zero since the joint bank account was listed on the Inheritance Tax Return. Row Page 1