HomeMy WebLinkAbout07-09-10INHERITANCE TAX
RECORD ADJUSTMENT
~If HELD OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES ~+~„~40 - t. ~r~~'
INHERITANCE TAX DIVISION ~ ~,~, *•*'j~ ,iw ~~"~.!
PO 80X 280601 r t~}~ ~ ~i ~
HARRIS8UR6 PA 17128-0601
~11~ .!!lt -~ Pty !~~ 44
~-~
DOROTHY J MART~~~~~~Q ~?~•~ ~`'
509 FRANCIS DRIVE
MECHANICSBURG PA 17050
pennsylva~ia
DEPARTMENT OF REVENUE
REV-1604 EX AFP C12-09)
DATE 06-30-2010
ESTATE OF PIONTKOWSKI HARRIET J
DATE OF DEATH 07-25-2008
FILE NUMBER 21 08-0834
COUNTY CUMBERLAND
SSN/DC
ACN 08139416
Aaount Rawitt•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 t~
REV-1604 EX AFP C1Z-09)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
.DATES 06-30-2010
~~.~~~
ESTATE OF: PIONTKOWSKI HARRIET J DATE OF DEATH: 07-25-2008 COUNTY: CUMBERL
FILE NO.: 21 08-084 S.S/D.C. N0.:190-24-5$67 ACN: 0813941
ADJUS MENT BAS D 0'N : ADMINISTRATIVE CORRECTION
~_
JOINT OR TRUST ASSET INFORMATION
FINANCIAL I NST I TUT I ON : MEMBERS 1ST FCU ACCOUNT NO .: 159442 - 00
~,
TYPE OF ACCOUNT: CX) SAVINGS C ) CHECKING ( ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 06-15-1996
Account Balance
Percent Taxable
Aaount Subject to Tsx
Debts and Deductions
Taxable Aaount
Tax Rate
Tax Due
TAX CREDITS:
.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 WILLSS
AT THE ADDRESS SHOWN ABOVE.
MAKE CHECK OR MONEY ORDER PAYAH~LE
TOs °REGISTER OF WILLS, AGENT.'"
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT .0Q
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 MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
~~
REV-1470 EX (6-E8)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT Of REVENUE
BUREAU OF IMDNIDUAL TAXES
PO BOUt 284801
tTEM
SCHEDULE Np,
Harriet J Pion#kawski
John Keaiy
INHERITANCE TAX
EXP~.ANATIC~~f
~F CHANGES
0139416
EXPLANATION OF CHAMiGES
Abova-r+~ferenced ~N is being ad)usteci to r+stiect msro tax dus because it has been
reported on the probate return.
.~
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