HomeMy WebLinkAbout03-23-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
. BUREAU' OF INDIVIDUAli~:T~XES
INHERITANCE TAX DIVISION--'j' "
PO BOX Z80601
HARRISBURG PA 171Z8-0601
I. n
.I
INHERITANCE TAX
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN....DC
ACN
REV-liD4 EX IFP 112-04)
OPr-;!n\
,~ t! \ '
THOMASJ\JrR'X'SBY
1906 KENT DR
CAMP HILL PA 17011
03-07-2005
RIGBY
10-20-1995
70 0220170
CUMBERLAND
196-07-6305
96102180
Allount RelliUed
EDGAR A
()5-LU&
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
----------------------------------------------------------------------------------------------------------------
REV-1604 EX AFP (01-03)
-- INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS __
DATE 03-07-2005
ESTATE OF RIGBY
EDGAR
A DATE OF DEATH 10-20-1995
COUNTY
CUMBERLAND
FILE NO. 70 0220170
ADJUSTMENT BASED ON:
S.S/D.C. NO. 196-07-6305
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
ACN
96102180
FINANCIAL INSTITUTION: DAUPHIN DEPOSIT BK & TR CO
ACCOUNT NO. 8100888582
TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE
DATE ESTABLISHED 06-08-1995
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
72,375.43
1. 000
72,375.43
.00
72,375.43
.06
4,342.52
NOTE: TO INSURE 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
TO: "REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 03-22-2005 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 4,342.52
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 2.702.91
TOTAL DUE 7.n4r> 4~
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
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REV.1470 EX (6-88)
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENrS NAME
EDGAR A RIGBY
REVIEWED BY
Phyllis Hoch
ITEM
SCHEDULE NO.
EXPLANATION OF CHANGES
TAX RATE ON ABOVE ACN'S CHANGED TO 6%.
ROW
ACN
FILE NUMBER
700220170
96102179,96102180
PaQe 1
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
BUREAU OF INDIVIDU~4--JrAXES
INHERITANCE TAX DIVISI9JilJJ'
PO BOX 280601
HARRISBURG PA 11l28-0601:~t
~ r.,
I ':;
INHERITANCE TAX
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
REV-16D4 EX AFP 112-04)
03-07-2005
RIGBY
10-20-1995
70 0220170
CUMBERLAND
196-07-6305
96102179
Allount Rellitted
EDGAR A
THOMAS,,,,t~i~j~
1906 KENT-Jd~
CAMP HILL PA 17011
05-~lo~
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
----------------------------------------------------------------------------------------------------------------
REV-1604 EX AFP (01-03)
-- INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS __
DATE 03-07-2005
ESTATE OF RIGBY
EDGAR
A DATE OF DEATH 10-20-1995
COUNTY
CUMBERLAND
FILE NO. 70 0220170
ADJUSTMENT BASED ON:
S.S/D.C. NO. 196-07-6305
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
ACN
96102179
FINANCIAL INSTITUTION: DAUPHIN DEPOSIT BK 8 TR CO
ACCOUNT NO. 8100792380
TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE
DATE ESTABLISHED 05-30-1995
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
74.446.17
1. 000
74.446.17
.00
74.446.17
.06
4.466.77
NOTE: TO INSURE 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
TO: "REGISTER OF WILLS. AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 03-22-2005 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 4.466.77
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 2.780.25
TOTAL DUE 7,?47 n?
. IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR).
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM fOR INSTRUCTIONS.)
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