HomeMy WebLinkAbout08-06-10
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
INHERITANCE TAX
RECORD ADJUSTMENT
_ ~J,OI.NTLY HELD OR TRUST ASSETS
_ ..,, ,.°
ti _
~.
ANN G F~X~~P`'~~~' .~ ~ ~' ~ ''~' ?~1
~-''~' ~ .
13 MONTEGO CT
DILLSBURG PA 17019-9382
CUT ALONG THIS LINE ~-- RETAIN LOWER PORTION FOR YOUR RECORDS ~--~
------------------------------------------------------------------------------------------------------------------------------------------------------------------
REV-1604 EX AFP (12-09~
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 07-26-2010
ESTATE OF: GRAVES MIRA DATE OF DEATH: 10-28-2008 COUNTY: CUMBERLAND
FILE NO.: 21 09-0792 S.S/D.C. N0.:193-20-1790 ACN= 08159054
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU
ACCOUNT NO.: 0193201790-S1
TYPE OF ACCOUNT: CX) SAVINGS t ) CHECKING C ~ TRUST ( ~ TIME CERTIFICATE
DATE ESTABLISHED 03-15-1978
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 .045
.00
-~-
pennsylvan~a , ~
DEPARTMENT OF RE=VENUE
REV-1604 EX AFP (:12-09)
DATE 07-26-2010
ESTATE OF GRAVES MIRA
DATE OF DEATH 10-28-2008
FILE NUMBER 21 09-0792
COUNTY CUMBERLAND
SSN/DC 193-20-1790
ACN 08159054
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
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 DRDER PAYABLE
T0: "REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
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 IS REFLECTED AS A
"CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
.-~,J`
INHERITANCE TAX
RECORD ADJUSTMENT pennsylvan~a ~
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES REV-1604 EX AFP C12-09)
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 07-26-2010
ESTATE OF GRAVES MIRA
DATE OF DEATH 10-28-2008
FILE NUMBER 21 09-0792
COUNTY CUMBERLAND
SSN/DC 193-20-1790
ANN G FOX ACN 09101750
13 MONTEGO CT
Amount Remitted
DILLSBURG PA 17019
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 F-
REV-1604 EX AFP (12-09~
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE• 07-26-2010
ESTATE OF: GRAVES MIRA DATE OF DEATH: 10-28-2008 COUNTY: CUMBERLAND
FILE NO.: 21 09-0792 S.S/D.C. N0.:193-20-1790
ACN: 09101750
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BK NA
ACCOUNT N0. 1010140797644
TYPE OF ACCOUNT: t ~ SAVINGS (X) CHECKING ( ) TRUST ( ~ TIME CERTIFICATE
DATE ESTABLISHED 04-03-2006
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 (+)
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.
`t_''
r
~,
REV-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 FILE NUMBER
MIRA GRAVES 2109-0792
REVIEWED BY ACN
Judy Watts 08159054 & 09101750
ITEM
SCHEDULE Np, EXPLANATION OF CHANGES
The above ACN's have been zeroed out showing a zero balance due. These accounts have
been reported and paid on the Inheritance tax return.
Row Page 1