HomeMy WebLinkAbout02-11-11INHERITANCE TAX
RECORD ADJUSTMENT peC111SJ/~~/a111a ~
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BUREAU OF INDIVIDUAL TAXES •~4.%~.:t' ?:_.~~I i i i1-~`~~ (,j~' DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~ + REV-1604 EX AFP C12-10)
PO BOX 280601 ~~ ~ .~ ' ~ ~'~ `'~ } ~
HARRISBURG PA 17128-0601
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PATR I C IA J WY~t~~~~ ~,j.,~~' ~' .`''.,!~~' , ~A,
C/0 2734 LOGAN ST
CAMPHILL PA 17011
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~--
-----------------------------
EV-1604 EX AFP C12-10)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS *~
DATE: 02-07-2011
ESTATE OF: MACKIN MARY P DATE OF DEATH: 02-02-2009 COUNTY: CUMBERLAND
"` ^ 3 _
DATE 02-07-2011
ESTATE OF MACKIN MARY P
DATE OF DEATH 02-02-2009
FILE NUMBER 21 09-0455
COUNTY CUMBERLAND
SSN/DC 023-18-3898
ACN 09154229
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
FILE NO.: 21 09-0455 S.S/D.C. N0.:023-18-3898 ACN: 09154229
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BANK ACCOUNT NO.: 3082794095087
TYPE OF ACCOUNT: C ) SAVINGS C ) CHECKING CX? TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 10-18-1982
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
400.06
X 0.333
133.35
- .00
133.35
X .045
6.00
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
TD: "REGISTER OF WILLS, AGENT."
PAYMENT I RECEIPT
DATE NUMBER
DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
INTEREST IS CHARGED THROUGH 02-22-2011 TOTAL TAX PAYMENT _ .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 6.00
REVERSE SIDE OF THIS FORM INTEREST AND PEN. _ .32
TOTAL DUE 6
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TO7AL DUE IS REFLECTED AS A
"CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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