HomeMy WebLinkAbout08-06-10~ ~
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BUREAU OF INDIVIDUAL TAXES ,
INHERITANCE TAX DIVISION !.
PO BOX 280601
HARRISBURG PA 17128-0601
INHERITANCE TAX
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
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MICHAEL WEAVER
107 HAIRE AVE
LEWISBURG PA 17837-9204
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pennsylvan~a ~- ~ =~
DEPARTMENT OF REVENUE
REV-1604 EX AFP (12-09)
DATE 07-26-2010
ESTATE OF KELLER INA M
DATE DF DEATH 12-09-2009
FILE NUMBER 21 09-1175
COUNTY CUMBERLAND
SSN/DC 175-10-7404
ACN 1010340b
Amount Remitted
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 ~
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REV-1604 EX AFP (12-09~
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 07-26-2010
ESTATE OF: KELLER INA M DATE OF DEATH: 12-09-2009 COUNTY: CUMBERLAND
FILE NO.: 21 09-1175 S.S/D.C. N0.:175-1D-7404 ACN: 10103406
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO.: 000031400177692
TYPE OF ACCOUNT: ( ) SAVINGS ( ) CHECKING CX) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 01-20-2000
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
.00
X 1.000
.00
_ .00
.00
X .15
.00
NOTE: TO ENSURE PROPER CREDIT TO YDUR
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."
TOY f'RFnTTS
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMDUNT 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.
~~
REV-1470 EX (6-88)
INHERITANCE TAX
COMMONWEALTH OF PENNSYLVANIA EXPLANATION
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME FILE NUMBER
INA M KELLER 2109-1175
REVIEWED BY
Judy Watts ACN 10103406
ITEM -
SCHEDULE NO, EXPLANATION OF CHANGES
The above ACN has been zeroed out leaving a zero balance due. This account was
reported and paid on the Inheritance tax return.
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