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HomeMy WebLinkAbout06-04-10BUREAU OF INDIVIDUAL TAXES INNERITANCE TAX DIVISION Po soot 2s0ao1 HARRISBtHtC PA 17125-0601 CUT ALONE THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS !~ LISA D SOUD 4802 WATER OAK COURT '', PALM BEACH GARD FL 33410 MAKE CHECK PAYABLE AND REMiT PAYMENT TOs REGISTER OF WILLS 1 COURTHOUSE SpUARE CARLISLE PA 17013 REV-1604 EX AFP C12-09) _~T ** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ** DATEa 05-28-2010 ESTATE OF: TOOZE ALBERT DATE OF DEATH: 02-06-2009 COUNTY: CUMBERLAND FILE NO.: .21.:.09-0604 S.SlD.C. N0.:148-34-1710 ACN: 09136681 ADJUSTMENT B !~ b ON : ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET Ii~FORMAT'ION FINANCIAL i NST i TUT I ON : wacHOVIA BK NA ACCOUNT NO .: 30.00.098654287 TYPE OF ACCOUNT: C ~ SAVINGS C ) CHECKING C ) TRUST C ) TIME CERTIFICATE DATE ESTABLISHED 09-14-2007 Account Balance Percent Taxable Aaount Subject to Tax Debts and Deductions Taxable Atoount Tax Rate Tax Due TAX CREDITS: ' INHERITANCE TAX RECORD ADJUSTMENT ~,~,~ ~ ~ ~~ OINTLY HELD OR TRUST ASSETS .~ ilk Ji#~ ..~ ~ ~ 1 ~ 2~ .00 X 0.166 .00 .00 .00 X .15 .00 penn~ylvar~ia DEPARTMENT OF REVENUE REV-1604 EX AFP C12-09) DATE 05-28-2010 ESTATE OF TOOZE ALBERT DATE OF DEATH 02-06-2009 FILE NUMBER 21 09-0604 COUNTY CUMBERLAND SSNIDC 148-34-1710 ACN 09136681 A~aunt Rowittad NOTE: TO' ENSURE PROBER CREDIT TO YOUR AC,!COUNT. 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 OitDER PAYABLE T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUNHER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST'. IF TOTAL EIUE 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) er~~s l~an~a I~ Y INHERITANCE TAX DEPARTMENT OF REVENUE EXPLANATIC~~I BUREAU OF INDIVIDUAL TAXES OF CHANGES Po BoX 2sosoi uc~,cucrv r ~ rvr~-rvrc FILE NUAi{$ER Albert Tooze 2109-0604 REVIEWED BY ACN Scott Ellison 09136681 ITEM SCHEDULE NO, EXPLANATION OF CHANGES The above account has been corrected to zero tax due. Row Page 1