HomeMy WebLinkAbout02-24-12INHERITANCE TAX
RECORD ADJUSTMENT
r~•~ Y` HELD OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES ~~r~j"t~;yr_i',~~;~
INHERITANCE TAX DIVISION .`. • ! ~`, i
PO BOX 280601 , i~,,;;~; . ,-, ~•'. vJ
HARRISBURG PA 17128-0601
CLcRK CF
ORPHAN'S COURt
ETHAN C GETG~1{^I!~?G~~_,~~,~~'i (;~ , PA
16 SHERWOOD CIRCLE
ENOLA PA 17025
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1604 EX AFP (12-11)
DATE 01-17-2012
ESTATE OF GETGEN TODD D
DATE OF DEATH 07-21-2010
FILE NUMBER 21 10-0883
COUNTY CUMBERLAND
SSN/DC 161-62-4370
ACN 10143503
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~1 RETAIN LOWER PORTION FOR YOUR RECORDS •~
REV-1604 EX AFP C12-11)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 01-17-2012
ESTATE OF: GETGEN TODD D DATE OF DEATH: 07-21-2010 COUNTY: CUMBERLAND
FILE NO.: 21 10-0883 S.S/D.C. N0.:161-62-4370 ACN: 10143503
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 238019-00
TYPE OF ACCOUNT: CX) SAVINGS C ) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 11-21-2003
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
X 0.500
.00
.00
.00
X .045
.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 OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) 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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
INHERITANCE TAX •
aDJUSTMENT pennsylvarna ~
RF^ORD
,
JOINTLYM'TiELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU DF INDIVIDUAL TAXES
REV-1604 EX AFP C12-11)
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 01-17-2012
ESTATE OF GETGEN TODD D
DATE OF DEATH 07-21-2010
FILE NUMBER 21 10-0883
COUNTY CUMBERLAND
SSN/DC 161-62-4370
ETHAN C GETGEN ACN 10143504
16 SHERWOOD CIRCLE
Amount Remitted
ENOLA PA 17025
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-li)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE• 01-17-2012
ESTATE OF: GETGEN TODD D DATE OF DEATH: 07-21-2010 COUNTY: CUMBERLAND
FILE NO.: 21 10-0883 S.S/D.C. N0.:161-62-4370 ACN: 10143504
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 238019-42
TYPE OF ACCOUNT: ( ) SAVINGS C ) CHECKING ( ) TRUST (X? TIME CERTIFICATE
DATE ESTABLISHED 04-01-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
.00
X 0.500
.00
.00
.00
X .045
.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 OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) 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.