HomeMy WebLinkAbout11-07-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
INHERITANCE TAX
RECORD ADJUSTMENT
~JQI~~,Y~HELD OR TRUST ASSETS
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Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1604 EX AFP (12-10)
DATE 10-18-2011
ESTATE OF EVANS MABELLE B
DATE OF DEATH 03-01-2010
FILE NUMBER CUMBERLAND
COUNTY
SSN/DC 201-16-7392
ACN 10138808
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE: SQUARE
CARLISLE PA 17013
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SCOTT W EVANS C~Jiv°~~'~r`=,L~~k`,;~! `~;1; , P:A
80 MILLERS GAP IUD
ENOLA PA 17025-1009
CUT ALONG THIS LINE
M~__._----------•I
REV-1604**XINHERITANQ,
~ RETAIN LOWER PORTION FOR-YOUR RECORDS~M__ <"~
,,
TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
____ 10-18-2011
ESTATE OF: EVANS ',
FILE NO.: 21 10-024111
e.rur~IT IIACGTI
MABELLE B DATE OF DEATH: 03-01-2010 COUNTY:
cin r Nn_ :201-16-7392 ACN:
CUMBERLAND
10138808
ADMINISTRATIVE CORRECTION
F{UJVJ ~ r~~... ~._.-_
JOINT OR TRUST ASSET INFORMATION
ACCOUNT NO.: 0201167392-S1
FINANCIAL INSTITl~TION: PSECU
TYPE OF ACCOUNT: C ~ SAVINGS
DATE ESTABLISHED 01-~17-2001
Account Balance
Percent Taxable
Amount Sub]ect to Tex
Debts and Deduction$
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RN M'.
DATE
( ) CHECKING C ) TRUST ( ) TIME CERTIFICATE
.00 NOTE:
X 0.500
.00
.00
.00
.045
X .00
DISCOUNT (+)
INTEREST/PEN PAID C-)
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 p'DDRESS SHOWN ABOVE.
MAKE CHECK OR MONEY ORDER PAYABLE
T0: "REGISTER OF WILLS, AGENT."
AMOUNT PAID
TOTAL TAX PAYMEM7 •~
BALANCE OF TAX DUE .~
INTEREST AND PEN. .(
TOTAL DUE _y(
~ IF PAID'AFTER THIS D~YEBESDUERAVREFUNDOR SEELCREVERSE S DE DOFTTHISLFORMEFORTINSTRUCTIONS•IS REFLECTED AS A
"CREDIT (CR). YOU MA
III
I
~`
~"-
INHERITANCE TAX
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
SCOTT W EVANS
80 MILLERS GAP f~D
ENOLA PA 17025-1009
II
Pennsylvania ~
DEPARTMENT OP REVENUE
REV-1604 EX AFP (12-10)
DATE 10-18-2011
ESTATE OF EVANS MABELLE B
DATE OF DEATH 03-01-2010
FILE NUMBER CUMBERLAND
COUNTY
SSN/DC 201-16-7392
ACN 10138809
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
....~ ~, nuc ruts LINE I ~• RETAIN LOWER PORTION FOR-YOUR RECORDS-~-_~Mw
REr y-1604 EX AFP C12-1 ) **
** INHERITANC TAX RECORD ADJUSTMENT JOINTLY HELD OR_TRUST ASSETSI0-18-2011
ESTATE OF: EVANS
FILE NO.: 21 10-0241
NT BAS D
MABELLE B DATE OF DEATH: 03-01-2010 COUNTY: CUMBERLAND
ACN: 10138809
S.S/D.C. N0.:201-16-7392
N; ADMINISTRATIVE CORRECTION
ADJUSTME
i
JOINT
OR TRUST ASSET
INFORMATION
ACCOUNT NO.: 0201167392-S4
INSTITU~ fION: PSECU
FINANCIAL
llI SAVINGS (X) CHECKING C ) T RUST C ) TIME CERTIFICATE
TYPE OF ACCOUNT: ~ A
DATE ESTABLISHED O1-~.7-2001
' .00 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Account Balance ~ 0.500 ACCOUNT, SUBMIT THE UPPER PORTION
Percent Taxable I X ,00 OF THIS NOTICE WITH YOUR TAX
Amount Subject to Tabc _00 PAYMENT TO THE REGISTER OF WILLS
Debts and Deductionsi - ,00 AT THE ADDRESS SHOWN ABOVE.
Taxable Amount ', .045 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Rate ~~ X .00 T0: "REGISTER OF WILLS, AGENT."
Tax Due 'i
TAX CREDITS:
DISCOUNT C+)
AMOUNT PAID
RE
PAYMENT NU EIPT
MBER INTEREST/PEN PAID C-)
DATE
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN.
TOTAL DUE
IS REFLECTED AS A
T
E
L
T
D
L
R
* IF PAID AFTER THIS DJ~TE, SEE REVE
O REVERSE S DE
SE E INSTRUCTIONS
FOR
FORM
THIS
OF
EFUND
"CREDIT" (CR), YOU M/~Y BE DUE A R
i
REV•14TDieX (01-10)
enns Lvan a
,• ~ . p Y
DEPARTMENT OF REVENU
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENTS NAME MABELLE B EVANS
REVIEWED BY Robin Gr
INHERITANCE TAX
EXPLANATION
OF CHANGES
ILE NUMtstrc 2110-0241
,cN 1013880810138809
EXPLANATION OF CHANGES
ITEM
SCHEDULE NO.
review as been conducted on this account. Thep ape rtetum. Therefore,'thls that this
A ro erl re orted on the p
joint ban account wasp P Y p
assessm nt has been corrected.
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