HomeMy WebLinkAbout07-09-10 (2)~-
INHERITANCE TAX
RECORD ADJUSTMENT
~J T ,Xx HELD OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES ~y r"`~?".~ ~~ ~'~
INHERITANCE TAX DIVISION t '~"~~' ~'"~ '~` ~t
PO 8m( 210601 ri(`~i:" ~~- ~'~~~
HARRISdUR6 PA 17128-0601 ~'-~'~ ~~ ~ Ly ~
z~~~ ~u~ -~ pn ~~= 4~E
~~
DOROTHY J MARTI ~~~~~~~ ('`~1„
509 FRANCIS DRIVE '1~~~~~
MECHANICSBURG PA 17050
pe~nsylvarrr~a
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 08139417
Amount Rowsttod
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1604 EX AFP f18-09)
*a INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
06-30-2010
ESTATE OF: PIONTKOWSKI HARRIET J DATE OF DEATH: 07-25-2008 COUNTY: CUMBERLAND
FILE NO.: 21 08-0$34 S.S/D.C. N0.:190-24-5867 ACN: 08139417
ADJUSTMENT $AS D aN : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 159442-11
TYPE OF ACCOUNT: C ) SAVINGS CX) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 06-15-1996
Account Balance
Perc®nt Taxable
Amount Subject to Tax
D®bts and Deductions
Taxable Amount
Tax Rate
Tax Du®
TAX CREDITS:
.00
X 0.500
.00
.00
.00
X .045
.00
NOTE: TO ENSURE PROPER CREDIT TO YOUR'
ACCOUNT, SUBMIT THE UPPER PORTIION
OF THIS NOTICE WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS
AT THE ADDRESS SHOWN ABOVE.
MAKE CHECK OR HONEY ORDER PAYAS~.E
T0: "REGISTER OF WILLS, AGENT."
PDA ENT RNtClMBER INTEREST%PEN PAID C-)
ANOUNT PAID
TOTAL TAX PAYMENT .00
BALA~iCE 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.
sA,
~v-»~o sac (see)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
su~au of ~NDnnou~. r~xEs
Po Sox 28oao~
Harriet J Piontkowski
John Kelly
INHERITANCE TAX
EXPLANAT~~-N
OF CHANGES
21
08139417
n~EM
SCHEDULE NO, EXPLANATION OF CHA'NOES
Ab~a-~-rren+ced ACN is being adJu:ted to reflect sera ta~c cfu~e becs~se it hae been
reported on the probate return.
Rt)vv Pages 1