HomeMy WebLinkAbout07-23-10 (2)
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
INHERITANCE TAX
RECORD ADJUSTMENT
~~ l~'~. "':=J_~0'I~i ~ HELD OR TRUST ASSETS
.. _ ~`
I ct
2~ ~ ~ J~,~~. 23 ~j~~ f t ~ ~ 8
~,,~ ,, ~. . _. , . • ~~~, 7r~
MARLEEN KARN~`- - -' • ~''~'~
2305 FOXFIRE CIRCLE
MECHANICSBURG PA 17055
CUT ALONG THIS LINE ---~ RETAIN LOWER PORTION FOR YOUR RECORDS f--
------------------------------------------------------------------------------------------------------------------------------------------------------------------
REV-1604 EX AFP C12-09~
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ~*
DATE: 07-15-2010
ESTATE OF: DALY JR JOSEPH G DATE OF DEATH: 04-25-2009 COUNTY: CUMBERLAND
FILE NO.: 21 09-0412 S.S/D.C. N0.:136-14-0809 ACN: 09145969
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BANK NA
TYPE OF ACCOUNT: C ~ SAVINGS C ~ CHECKING (X} TRUST ( ~ TIME CERTIFICATE
DATE ESTABLISHED 05-27-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
.00
X 0.500
.00
_ .00
.00
X .15
.00
Pennsylvania' ~ ~` .T
DEPARTMENT OF REVENUE
REV-1604 EX AFP t12-09) r
DATE 07-15-2010
ESTATE OF DALY JR JOSEPH G
DATE OF DEATH 04-25-2009
FILE NUMBER 21 09-0412
COUNTY CUMBERLAND
SSN/DC 13b-14-0809
ACN 09145969
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID t-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
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.
ACCOUNT N0.: 1010193208627
_ ,U
V
`,~~
~ INHERITANCE TAX
' RECORD ADJUSTMENT
"`~~ ' ~~~ JO:INr~Y HELD OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES ~ ~ ~~~~ ~...
INHERITANCE TAX DIVISION -
PO BOX 280601 ` ~" '~'" ~ ~ ~ ~ ~ ~ `~~
HARRISBURG PA 17128-0601
~~~~ ~~~~, ~3 ~,~~ ~!' ~~
~~~ ~ ~~~~ ;.l ?'
,,, ,,
MARLEEN KARNS '. =:~
2305 FOXFIRE CIRCLE
MECHANICSBURG PA 17055
pennsylvania~ ~~~
DEPARTMENT OF REVENUE
REV-1604 EX AFP C12-09) t
DATE 07-15-2010
ESTATE OF DALY JR JOSEPH G
DATE OF DEATH 04-25-2009
FILE NUMBER 21 09-0412
COUNTY CUMBERLAND
SSN/DC 136-14-0809
ACN 09145971
Amount Remitted
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 t~-
------------------------------------------------------------------------------------------------------------------------------------------------------------------
REV-1604 EX AFP C12-09~
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 07-15-2010
ESTATE OF: DALY JR JOSEPH G DATE OF DEATH: 04-25-2009 COUNTY: CUMBERLAND
FILE NO.: 21 09-0412 S.S/D.C. N0.:136-14-0809 ACN: 09145971
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT 0R TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BANK NA
ACCOUNT N0. 247402073427517
TYPE OF ACCOUNT: ( ) SAVINGS ( ~ CHECKING C ~ TRUST (X) TIME CERTIFICATE
DATE ESTABLISHED 06-19-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
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 WILLS
AT THE ADDRESS SHOWN ABOVE.
MAKE CHECK OR MONEY ORDER PAYABLE
T0: "REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+~
INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE I5 REFLECTED AS A
"CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
MARLEEN KARNS
2305 FOXFIRE CIR
MECHANICSBURG
CUT ALONG THIS LINE -"~ RETAIN LOWER PORTION FOR YOUR RECORDS 4-
------------------------------------------------------------------------------------------------------------------------------------------------------------------
REV-1604 EX AFP C12-09~
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 07-15-2010
ESTATE OF: DALY JR JOSEPH G DATE OF DEATH: 04-25-2009 COUNTY: CUMBERLAND
FILE NO.: 21 09-0412 S.S/D.C. N0.:136-14-0809 ACN: 09145973
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: wACHOVIA BANK NA ACCOUNT N0.:247402083412114
TYPE OF ACCOUNT: C ) SAVINGS ( ) CHECKING (X) TRUST ( ~ TIME CERTIFICATE
DATE ESTABLISHED 06-03-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
INHERITANCE TAX
_,. r„__ ,. RECORD ADJUSTMENT
' J!DIMTi~Y~- M~~ID OR TRUST ASSETS
- ~_
. . , - .,
pennsylvania ~ ~ ~`
DEPARTMENT OF REVENUE r
REV-1604 EX AFP C12-09)
~~~~JG"~, ~3 ~~-E ~!; ~~~ DATE 07-15-2010
ESTATE OF DALY JR JOSEPH G
DATE OF DEATH 04-25-2009
_
C~ r~_,;i `~=
~. , i.. ~ FILE NUMBER 21 09-0412
A
~~`~'~` ~' '' '~ ~ !~
~ COUNTY CUMBERLAND
~!.'~',~ ~
' ~_,,
~} SSN/DC 136-14-0809
' ACN 09145973
Amount Remitted
PA 17055
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
.00
X 0.500
.00
_ .00
.00
X .15
.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 MONEY ORDER PAYABLE
T0: "REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
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.
~'~
..~..-11
~,
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
MARLEEN KARNS
2305 FOXFIRE CIR
MECHANICSBURG
INHERITANCE TAX
RECORD ADJUSTMENT
- ~-,-J_O~,NTLY HELD OR TRUST ASSETS
i .r-- +,.
- ; r -- _.
-~ ~~ i ,'t
~.: .
Pennsylvania' ~ ~~.~r.
DEPARTMENT OF REVENUE
REV-1b04 EX AFP (12-09)
~
,[~jr ~~a~ L~ ~~~ ~~ DATE 07-15-2010
,
~ ~ ESTATE OF DALY JR JOSEPH G
DATE OF DEATH 04-25-2009
' r-r„~ r~~ FILE NUMBER 21 09-0412
,~ ., ~,, ,
L_^' ~ ~
COUNTY
CUMBERLAND
.,i: !1' ,
~'' ~ ~ ``~~
SSN/DC
136-14-0809
,~,.~ ACN 09145967
Amount Remitted
PA 17055
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 OR TRUST ASSETS **
DATE: 07-15-2010
ESTATE OF: DALY JR JOSEPH G DATE OF DEATH: 04-25-2009 COUNTY: CUMBERLAND
FILE NO.: 21 09-0412 S.S/D.C. N0.:136-14-0809 ACN: 09145967
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BANK NA ACCOUNT NO.: 1010138955171
TYPE OF ACCOUNT: ( ~ SAVINGS C ~ CHECKING (X) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 12-21-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
X 0.500
.00
_ .00
.00
X .15
.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 MONEY ORDER PAYABLE
T0: "REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+~
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
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.
RSV-1470 EX (6-88)
INHERITANCE TAX
EXPLANATION
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME
JOSEPH G DALY JR FILE NUMBER
2109-0412
REVIEWED BY
Judy Watts ACN
09145967 09145969
09145971 09145973
ITEM
SCHEDULE NO, EXPLANATION OF CHANGES
The above ACN's have been zeroed out leaving a zero balance due. These accounts have
been reported and paid on the Inheritance tax return.
Row Page 1