HomeMy WebLinkAbout05-07-10
~~~~ ~~~ ~~ ~~ ~~' Q~ATE 04-30-2 10
ESTATE OF RAFFENS ERGER
~~~ ~ DATE OF DEATH 03-19-2 09
FILE NUMBER 21 09-0 90
p~PH~N S ~~?1,~RT COUNTY CUMBERL ND
ELIZABETH L HINKLE~'~~~~~~~"~'~ ~~" ~' SSN/DC 201-18- 164
ACN 0913791
97 LEE ANN COURT -
Amount Remitted
ENOLA PA 17025
SARA J
MAKE CHECK PAYABLE AN REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUA E
CARLISLE PA 170 3
INHERITANCE TAX
-f,-r,r, JUSTMENT
,: ~_,J~'~'~It~~,~,° !OR TRUST ASSETS
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Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1b04 EX AFP C12-09)
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
CUT ALONG THIS LINE ~--- RETAIN LOWER PORTION FOR YOUR RECORDS ~
-------------------------------------------------
REV-1604 EX AFP C12-09~ ----------------------------------- ------------------------------------------ -----------------------------------
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASS ETS :**
DATE: 04-30-2010
ESTATE OF: RAFFENSPERGER SARA J DATE OF DEATH: 03-19-2009 CO NTY: CUMBERLAND
FILE NO.: 21 09-0290 S.S/D.C. N0.:201-18-3164 ACN: 09137918
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: M ~ T BANK ACCOUNT NO :70190402
TYPE OF ACCOUNT: C ~ SAVIN GS CX) CHECKING C ) TRUST ( ~ TIME CERTI FICATE
DATE ESTABLISHED 12-05-2002
Account Balance •00 NOTE: TO ENSURE PRO ER CREDIT TO YOUR
Percent Taxable X 0.500 ACCOUNT, SUBM IT THE UPPER PORTION
Amount Subject to Tax •00 OF THIS NOTIC WITH YOUR TAX
Debts and Deductions - •00 PAYMENT TO TH REGISTER OF WILLS
Taxable Amount •00 AT THE ADDRES SHOWN ABOVE.
Tax Rate X .045 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due •00 T0: "REGISTE OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
10-16-2009 CD011868 .00 51.78
04-29-2010 REFUND .00 51.78
TOTAL TAX PAYM NT
BALANCE OF TAX UE
INTEREST AND P N.
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL UE IS REFLECTED AS A
"CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIO S.
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1
r
REV-1470 EX (688)
INHERITANCE TAX
EXPLANATION ''
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE QF CHANGES
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME FIL NUMBER
Sara J. Raffensperger 2109-0290
REVIEWED BY AC
Jennifer J. Schaefer 09137918
SCHEDULE I 'NO I EXPLANATION OF CHANGES
Reported on probate return. Refund in process.
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