HomeMy WebLinkAbout02-11-11 (2)INHERITANCE TAX
RECORD ADJUSTMENT
QQ~~ ^~~~°~~~ ,~~-~i ~ NTLY HELD OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXB3~..+.'~~~~`C,l..~ ~•_~. !~~~
INHERITANCE TAX DIVISION ('•;' , ~-r'- - ,+~~ ~ r
PO BOX 280601 ~'" ~~'+ ' t r^ - +~`
HARRISBURG PA 17128-0601
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PATRICIA J GG~..~~X~ i '''' ~,, ,~,;~` , F~~
2734 LOGAN ST
CAMP HILL PA 17011
Pennsylvania `~
DEPARTMENT OF REVENUE
REV-].604 EX AFP C12-10)
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 09154226
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 E-
----------------------------
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
FILE NO.: 21 09-0455 S.S/D.C. N0.:023-18-3898
4CN ~ r
HU.1UJ 11'7tIV I liAStU ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BANK NA ACCOUNT NO.: 1010058127539
TYPE OF ACCOUNT: ( ~ SAVINGS ( ~ CHECKING (X) TRUST ( ~ TIME CERTIFICATE
DATE ESTABLISHED 08-27-2002
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT I RECEIPT
DATE NUMBER
16,374.54
X 0.333
5,458.13
- .00
5,458.13
X .045
24.5.61
DISCOUNT C+)
INTEREST/PEN PAID (-)
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."
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 245.61
REVERSE SIDE OF THIS FORM INTEREST AND PEN. _ 12.91
TOTAL DUE _ 258.
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS F2EFLECTED AS A
"CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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