HomeMy WebLinkAbout05-21-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
INHERITANCE TAX
--,~ r ~` JiJIsNTLY HELD ORJ TRUST ASSETS
.- - r
t~~~ ~'~ 2 ~ ~ 12' ~ 3
LOLA M WOLF C~'J a r
RR 1 BOX 127
LOYSVILLE PA 17047
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1604 EX AFP (12-09)
DATE 05-17-2010
ESTATE OF TINSLEY VERA
DATE OF DEATH 01-23-2007
FILE NUMBER 21 07-0207
COUNTY CUMBERLAND
SSN/DC 174-20-9215
ACN 07120182
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: 05-17-2010
ESTATE OF: TINSLEY VERA DATE OF DEATH: 01-23-2007 COUNTY: CUMBERLAND
FILE NO.: 21 07-0207 S.S/D.C. N0.:174-20-9215 ACN: 07120182
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO.: 5004713377
TYPE OF ACCOUNT: CX) SAVINGS ( ) CHECKING ( ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 08-15-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
7AX CREDITS:
.00 NOTE:
X 1.000
.00
.00
.00
X .045
.00
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
07-10-2007 CD008382 .00 36.35
TOTAL TAX PAYMENT 36.35
BALANCE OF TAX DUE 36.35CR
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.