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HomeMy WebLinkAbout11-08-10 (2) BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 KATHLEEN W STEVICK 76 SMITH RD INHERITANCE TAX • RECORD ADJUSTMENT pennSy~Van~~ ~ ~: JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE •- r °.~i .'. }~ `' '+ ~ ;i ~,~ ,, ._ REV-1604 EX AFP C12-09) ,, DATE 10-27-2010 ~~~~ ~~~ _~ ~~ ~' ~ T O KENNETH R I o DATE OF DEATH 09 22 2009 FILE NUMBER 21 09-0922 ~~~p~ ~~ COUNTY CUMBERLAND ~~PM,~~'~f~~S ,~,~~ ~~~. SSN/DC ` 213-32-4785 G ~p ~~~ ~ ~ ,. i ~, ,..,,., ACN 0 917 515 2 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 GARDNERS PA 17324 CUT ALONG THIS LINE --1 RETAIN LOWER PORTION FOR YOUR RECORDS ~-- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ REV-1604 EX AFP C12-09~ ** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ** DATE: 10-27-2010 ESTATE OF: WHITSON KENNETH R DATE OF DEATH: 09-22-2009 COUNTY: CUMBERLAND FILE NO.: 21 09-0922 S.S/D.C. N0.:213-32-4785 ACN: 09175152 ADJUSTMENT BASED 0N: ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.: 2891103017 TYPE OF ACCOUNT: C ) SAVINGS CX) CHECKING C ~ TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 09-10-2009 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: .00 X 1.000 .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. -L L FEV-1470 EX (8-88) INHERITANCE TAX EXPLANATION COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OF CHANGES BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 i:IECEDENT'S NAME KENNETH R WHITSON FILE NUMBER 2109-0922 REVIEWED BY ACN Department of Revenue/Claudia Maffei 09175152 ITEM SCHEDULE NO, EXPLANATION OF CHANGES Above-referenced ACN(s) are being adjusted to reflect zero tax due since they have been reported on the probate return. Row Page 1