HomeMy WebLinkAbout04-08-11t INHERITANCE TAX
r~"n ,, -__ . ~ ,~,,~` ,~~^ RECORD ADJUSTMENT
,~ , ;y, - , ~.~,!JQ~NTLY HELD OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES _ ''!ir
INHERITANCE TAX DIVISION ii;`~~':~ - `~" `',~
PO BOX 280601
HARRISBURG PA 17128-0601
~ ~. ;}:.
MARGARET F FA~~iL+~~R-~"'__,1,`~..~~,., ,1~~ ~ ~~,
8 RED BUD DRIVE UNIT 4
MECHANICSBURG PA 17050-1803
Pennsylvania
DEPAFiTN1ENT OF REVENUE
REV-160~i EX AFP C12-10)
DATE 03-31-2011
ESTATE OF FACKLER EMERSON F
DATE OF DEATH 12-25-2009
FILE NUMBER 21 10-0028
COUNTY CUMBERLAND
SSN/DC 206-10-8166
ACN 10115361
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-
REV-1604 EX AFP C12-10~
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 03-31-2011
ESTATE OF: FACKLER EMERSON F DATE OF DEATH: 12-25-2009 COUNT'~f: CUMBERLAND
FILE NO.: 21 10-0028 S.S/D.C. N0.:206-10-8166 ACN: 10115361
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL I NST I TUT I ON : WACHOVIA BK NA ACCOUNT NO .:247412061388728
TYPE OF ACCOUNT: ( ) SAVINGS ( ) CHECKING C ? TRUST (X) TIME CERTIFICATE
DATE ESTABLISHED 12-02-2000
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAY ro~nrTC.
30,037.29
X 0.500
15,018.b5
_ .00
15,018.65
X .00
.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 OAF 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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
_ __
y
r
REV-1a70 EX (6-881
~~ ;
~~~~r INHERITANCE TAX
v ~,
""=~~ ~~~~~'~' EXP LAN ATIO N
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG, PA 17128-0601 --
DECEDENT'S NAME FILE NUMBEI~
EMERSON F FACKLER 2110-0028
REVIEWED BY ACN
Elizabeth A. Bloom 10115361
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
Assets passing from the decedent to the surviving spouse are reportable and taxable at
the zero tax rate.
ORIGINAL Page 1