HomeMy WebLinkAbout02-11-11 (3)INHERITANCE TAX '` _
~, ~~p~ ~, ~,~',~ RECORD ADJUSTMENT pennsy van~a ~. ~
R~ ~') ~ ~r ; . ;~~-;.~~J~~NTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXE S (•~,
INHERITANCE TAX DIVISION ~-il• ~~~- .i f(i? f (~ REV-1604 EX AFP (12-10) `
PO BOX 280601 _ ~~ -- ., r ~ ~_.i.. J
HARRISBURG PA 17128-0601
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CHARLES P ~CCK1~1~ + - `- ~ ~~•
2734 LOGAN ST
CAMPHILL PA 17011
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 09154227
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 f-
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EV-1604 EX AFP C12-10~
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS *~
DATE• 02-07-2011
ESTATE 0F: MACKIN MARY P DATE OF DEATH: 02-02-2009 COUNTY: CUMBERLAND
FILE NO.: 21 09-0455 S.S/D.C. N0.:023-18-3898 ACN: 09154227
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BANK ACCOUNT NO.: 3082794095087
TYPE OF ACCOUNT: ( ) SAVINGS ( ) CHECKING (X) TRUST ( ) 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:
PAYMENT RECEIPT
DATE NUMBER
DISCOUNT C+)
INTEREST/PEN PAID C-)
NOTE: TO ENSURE PROPER CREDIT TO YOUR
ACCOUNT, SUBMIT T'HE 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 6.00
REVERSE SIDE OF THIS FORM INTEREST AND PEN. .32
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A
"CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
400.06
X 0.333
133.35
- .00
133.35
X .045
6.00
T~