HomeMy WebLinkAbout07-06-10- _. _ _ ,,.
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INHERITANCE TAX '
RECORD ADJUSTMENT penn~ylvan~a
iN~ ,..HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~~',~'~~~~i.~ ~'~~~'~~}.
~ ~. ~ REV-1604 EX AFP C12-09)
INHERITANCE TAX DIVISION ~ • +-;q,t
PO ~( 280601 1-•~.,~ , z-F'c ~~ ''; ~
HARRIS8UR6 PA 17128-Of 01 ~}~.l~lti , ~.-t ~ :,`~ t t IL.;.'.i
2~I10 JUL -6 P~! 2` ~~
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ORPH,~N'S ~4URT
BERTHA A COLLIN~~~~R~~;LA~ ~;~~}„ PA.
C/0 RUSSELL COLLINS
1167 S FORGE RD
PALMYRA PA 17078
DATE 06-23-2010
ESTATE OF COLLINS SYLVIA F
DATE OF DEATH 02-07-2010
FILE NUMBER 21 10-0143
COUNTY CUMBERLAND
SSN/DC 195-14-3116
ACN 10111230
Alsount Ramitt~d
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 0'R TRUST ASSETS *~
DATE* 06-23-2010
ESTATE OF: COLLINS SYLVIA F DATE OF DEATH: 02-07-2010 COUNTY: CUMBERL
FILE NO.: 21 10-Q143 S.SfD.C. N0.:195-14-3116 ACN: 1011123q
ADJUSTMEN 8 LI) ON : ADMINISTRATIVE CORRECTION
~_,_,_~
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: METRO BANK ACCOUNT N0.:537408031
TYPE OF ACCOUNT: C ) SAVINGS CX) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 05-31-2006
Account Balance
Percent Taxable
Aeount Sub3ect to Tax
Debts and Deductions
Taxable A^ount
Tax Rate
Tax Due
TAX CREDITSs
.00
X 0.500.
- --
.00
.00
.00
X .045
._
.00
NOTE: 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 HONEY ORDER PAYABLE
T0: "REGISTER Of WILLS, AGENT."
P DATENT RNUM$ER INTEREST~PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT .0
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A
"CREDIT" CCR), YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
t ~
REV•7470 EX (&88)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
euREAU o~ INOrvr~cw~~ TAxEs
Po ~ aeo~o~
INHERITANCE TAX
EXPLANATION
OF CHANGES
~ .v4 ~~VNii74I7
YLYiA F COLLINS 211-0-01 3
REVIEWED BY
Judy Watts acN 1011123U
ITEM
SCHEDULE NO. EXPLANATION O~ CNAIE8
The above ACN has been zero®-d out leaving a zero I~alanCe dua. This account was
reported and paid on ate Inheritance tax return.
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