HomeMy WebLinkAbout07-09-10` ~ INHERITANCE TAX •
RECORD ADJUSTMENT ~pennsylVan~a
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL T ~ REV-1604 EX AFP C12-09)
INHERITANCE TAX DIVISION ~ ~~
PO Ot17( 250601 '
HARRISdUR6 PA 17128-0601 ~"~~~:~~ ~ ~ ~"'°' 4`~~~ t ~d
1ti 10 JUG - 9 PM !~~ 4
.~
t,~.~
ERIN f~ ~~~p
123 SHEAFFE ~~-~ +`~
LANDISBURG PA 17040
DATE 07-01-2010
ESTATE OF PAYNE CHARLES T
DATE OF DEATH 12~-27-2006
FILE NUMd6R 21 07-0286
COUNTY CUMBERLAND
SSN/DC 348-36-1386
ACN 07111295
Awount Ro~itt~d
MAKE CHECK PAYABLE AND R-EMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS ~•
REM-1604 EX AFP C12-09)
** INHE;RITANCE TAX RECORD ADJUSTMENT JOINTLY HELD 'OR TRUST ASSETS **
DATES 07-01-2010
ESTATE OF: PAYNE CHARLES T DATE OF DEATH: 12-27-2006 COUNTY: CUMBERLAND
FILE ND.s 21 07-0286 S.S/D.C. N0.:348-36-1386 ACN: 071112 5
ADJUSTM NT ABED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFQRMATION
F I NANO I AL I NST I TUT I ON : MEMBERS 1ST FCU ACCOUNT NO .: 198262 -11
TYPE OF ACCOUNT: C ) SAVINGS tX? CHECKING ( ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 10-30-2000
Account Balance
Percent Taxable
Aeount Subject to Tax
Debts and Deductions
Taxable Awount
Tax Rate
Tax Due
.00
X 0.166
.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."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DU.
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 FORN FOR INSTRUCTIONS.
t INHERITANCE TAX
~ RECORD ADJU RAM TNT pennsylvan~a
JOINTLY HEL1 ~R T S ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES `"' REV-1604 EX AFP C12-09)
INNQtITANCE TAX DIVISION ~ ~,~~~ E,i
HARRI~SHUR66PA 17128-0601 ~~~~~~ ~s' ~~~' ~ ~
!~ JUG. ~9 PM 12~ 4~
~p~
ER I N PAYNE wy~~~~~~+"} ~~ ~~~~
123 SHEAFFER VALLEY ~iD~~~~~
LANDISBURG PA 17040
DATE 07-01-2010
ESTATE OF PAYNE CHARLES T
DATE OF DEATH 12-27-2006
FILE NUMBCR 21 07-0286
COUNTY CUMBERLAND
SSN/DC 348-36-1386
ACN 07111297
Awou~t Ra~itted
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 tr
REV-1604 EX AFP C12-09)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
~~~,_~_~_~_~,~,~~~.,.,, , ~_~_~.__~_D,~TE s 0 7- O 1- 2 010
~_,~
ESTATE OF: PAYNE CHARLES T DATE OF DEATH: 12-27-2006 COUNTY: CUMBERLAND
FILE NO.: 21 07-0286 S.S/D.C. N0.:348-36-1386 ACN: 071112 7
ADJUSTMENT BA E ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS iST FCU ACCOUNT NO.: 198262-05
TYPE OF ACCOUNT: C~0 SAVINGS C ) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 11-26-2001
Account Balance
Percent Taxable
Aeount Subject to Tax
Debts and Deductions
Taxable Aa:ount
Tax Rate
Tax Due
TAX CREDITS:
.00
X 0.166
.00
.00
.00
X .045
.00
NOTE: TO ENSURE PROPER CREDIT TO YOUIR
ACCOUNT, SUBMIT THE UPPER PORTION
aF THIS NOTICE WITH YOUR TAX
PAYMENT TO THE REGISTER OF WIL~~LS
AT THE ADDRESS SHOWN ABOVE.
MAKE CHECK OR MONEY ORDER 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 DUE IS REFLECTED AS A
'•CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
~~
REV•1470 EX (01-10) ~
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~ pe~llsy~V~~1~ INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO BoX 280601
DECEDENTS NAME Fl~E NUMBER
Gharies T Payne 2107-0?~86
Scott Ellison ~T111295,0711'~297
ITEM
SCHEDULE Np, EXPIANATiQN OF CHANGES
The attached accounts have been adjusted to zero tax due.
ROW
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