HomeMy WebLinkAbout05-17-10INHERITANCE TAX
RECORD ADJUSTMENT
,.__~ ~. ~~J ~T_ ,X D OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES ~ '_~_ _~~+{..•`~-.,~'~,; ~~~~
INHERITANCE TAX DIVISION ~' "' ~ E~,!;!
PO BOX 280601 ~ ~wt..~°4.+ ~ ~~ ,~' ~~`-
HARRISBURG PA 17128-0601 ~ •~
p~ennsylvania ~
DEPARTMENT OF REVENUE
REV-1604 IX AFP C12-09)
~~~~ ~~~ ( ~ ~~ ?~; '~`~' DATE 05-07-2 10
~t ESTATE OF CURRAN ROSE
DATE OF DEATH 12-24-2 06
~,~~ ~F FILE NUMBER 21 07-0 78
4RFH~,U'~ ~{~~)RT COUNTY CUMBERL 'ND
~~-. SSN/DC 178-32- 652
HUGH WEAVER ~~~l~~~~!{:-~~'~~`~~ ~~`~-' . ~~`~ ACN 0710440
33 BOURBON RED DR Amount Remi ted
MECHANICSBURG PA 17055
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUA 'E
CARLISLE PA 170 3
CUT ALONG THIS LINE '~ RETAIN LOWER PORTION FOR YOUR RECORDS -E""
A
REV-1604 EX AFP C12-09~
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASS TS ~*
DATE: 05-07-2010
ESTATE OF: CURRAN
ROSE A DATE OF DEATH: 12-24-2006 CO NTY:
CUMBERLAND
FILE NO.: 21 07-0078 S.S/D.C. N0.:178-32-0652 CN: 07104400
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: INTEGRITY BANK ACCOUNT NO.: 206000166
TYPE OF ACCOUNT: C ~ SAVINGS CX) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 05-26-2006
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 PRO ER CREDIT TO YOUR
ACCOUNT, SUBM T THE UPPER PORTION
OF THIS NOTIC WITH YOUR TAX
PAYMENT TO TH REGISTER OF WILLS
AT THE ADDRES SHOWN ABOVE.
MAKE CHECK OR 'MONEY ORDER PAYABLE
T0: "REGISTE OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYME IT , i
BALANCE OF TAX DIE
INTEREST AND PE .
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DU IS REFLECTED AS A
"CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTION .
~1
REV-1470 EX (6-88)
INHERITANCE TAX
EXPLANATION
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE QF CHANGES
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENTS NAME FIL NUMBER
ROSE A. CURREN 2107-0078
REVIEWED BY AC
Elizabeth A. Bloom 07104400
ITEM
SCHEDULE NO, EXPLANATION OF CHANGES
Above-referenced ACN(s) are being adjusted to reflect zero tax due since they have been
reported on the probate return.
Row Page 1