HomeMy WebLinkAbout07-16-10~ ; ,;
INHERITANCE TAX ~ :r
RECORD ADJUSTMENT pennsyLvan~a ;~ ~
- J;Q,hI~.TL,X -1~~-OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES ~';' ' '~ ~ , ;`~ ,~'' DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION - ~ REV-1604 EX AFP (12-09)
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PO BOX 280601 ~ - ~',~; ~ ~ ~~
HARRISBURG PA 17128-0601 ~~~ .' ~`~ ~ ~
~~ ~~~ i ~ P~ ~: ~ ~ DATE 06-16-2010
ESTATE OF COBB HELEN A
DATE OF DEATH 02-01-2009
~L~~~ (~~ FILE NUMBER 70 0391439 ,~~ ~(~ -- ~~,1.{
~~; ~, ~~.,~ ~,~-, ,-,-r COUNTY CUMBERLAND
~'t ~~'~~ ~"~~-~,i SSN/DC 363-22-3398
CARL E SMITH 1+;~?~r"'~-~~` +"~~' ~t~'~ ~~,
- ACN 09113604
591 OXFORD RD Amount Remitted
GARDNERS PA 17324
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 E--
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REV-1604 EX AFP C12-09~
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ~*
DATE: 06-16-2010
ESTATE OF: COBB HELEN A DATE OF DEATH: 02-01-2009 COUNTY: CUMBERLAND
FILE NO.: 70 0391439 S.S/D.C. N0.:363-22-3398 ACN: 09113604
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO.: 000005000887919
TYPE OF ACCOUNT: C ~ SAVINGS (X) CHECKING C ~ TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 11-15-1999
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
344.91
X 0.500
172.46
- .00
172.46
X .045
7.76
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 MONEY ORDER PAYABLE
T0: "REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C±)
INTEREST/PEN PAID (-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 07-01-2010 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS'OUTLINED ON THE BALANCE OF TAX DUE 7.76
REVERSE SIDE OF THIS FORM INTEREST AND PEN. .22
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TDTAI DUE IS REFLECTED AS A
"CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.