HomeMy WebLinkAbout05-17-10INHERITANCE TAX
RECORD ADJUSTMENT
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BUREAU OF INDIVIDUAL TAXES ~-'!'~ _ ..,
INHERITANCE TAX DIVISION r ,,~ - }~ ,' y'. t~ +l, ~ `"'
PO BOX 280601 i !~H ~"1( T , ~ 6 4 V' t F4 "" J
HARRISBURG PA 17128-0601
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11 RASPBERRY DR
MECHANICSBURG PA 17050
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1604 EX AFP C12-09)
DATE 05-07-2010
ESTATE OF FULLER MARY E
DATE OF DEATH 09-28-2007
FILE NUMBER 21 07-0922
COUNTY CUMBERL ND
SSN/DC 164-24- 879
ACN 07151771
MAKE CHECK PAYABLE AN REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUA E
CARLISLE PA 170 3
CUT ALONG THIS LINE ~-~! RETAIN LOWER PORTION FOR YOUR RECORDS
REV-1604 EX AFP C12-09~
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST AS
DATE:
ESTATE OF: FULLER
FILE NO.: 21 07-0922
MARY
~'-~
S :~
05-07-2010
E DATE OF DEATH: 09-28-2007 COUNTY:
S.S/D.C. N0.:164-24-9879
CUMBERLAND
N: 07151771
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION ~~
FINANCIAL INSTITUTION: MEMBERS 1ST Fcu ACCOUNT NO.: 285914
TYPE OF ACCOUNT: C ~ SAVINGS C ~ CHECKING C ~ TRUST (X) TIME CERTIFICATE
DATE ESTABLISHED 08-01-2006
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 .045
.00
NOTE: TO ENSURE PROI
ACCOUNT, SUBM
OF THIS NOTICI
PAYMENT TO THi
AT THE ADDRES~
MAKE CHECK OR
TD: "REGISTEI
ER CREDIT TO YOUR
T THE UPPER PORTION
WITH YOUR TAX
REGISTER OF WILLS
SHOWN ABOVE.
MONEY ORDER PAYABLE
OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMEN
BALANCE OF TAX DUE
INTEREST AND PEN«
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 .
REV-1470 EX (Ot-10)
~ pennsy van~a INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
• BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601
H RRI B R PA 1712 - 1
DECEDENT'S NAME Fi E NUMBER
Mary E. Fuller 2107-0922
REVIEWED BY A 'N
Eunice Baker 07151771
ITEM
SCHEDULE NO, EXPLANATION OF CHANGES
The above account has been adjusted to zero since it was repo ed on the probate return.
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