HomeMy WebLinkAbout08-16-11BUREAU OF INDIVIDUAL. TAXES
INHERITANCE TAX DIYISION
PO BOX 280601
HARRISBURG PA 17128-0601
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INHERITANCE TAX pennsylvania ~4'
RECORD ADJUSTMENT
~~~~ ,t f -~, , ~~a~ HELD OR TRUST ASSETS R~AR~ 4E~ AF RE12NUOE
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C~E~E\ ~~
ORPHAN'S ~~U9
WILLIAM M SHEPPARD ~T~
320 SHERMAN AVE
CARLISLE PA 17013
DATE 07-26-2011 DORIS J
ESTATE OF SHEPPARD
DATE OF DEATH 10-22-2010
FILE NUMBER CUMBERLAND
COUNTY
SSN/DC 196-14-3380
ACN 10164584
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
,..... rule 1 7NE ~ RETAIN LOWER PORTION FOR-YOUR RECORDS~__r~M_
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** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSET **
REV-1604 EX AFP C12-10) 07_26-2011
nwrr.
ESTATE OF: SHEPPARD
FILE NO.: 70 0425438
_ n wcCTf fl
DORIS J DATE OF DEATH: 10-22-2010
c em r__ N0.:19b-14-3380
COUNTY: CUMBERLAND
ACN: 10164584
ADMINISTRATIVE CORRECTION
JU,LI'~~n~ ~+
FINANCIAL INSTITUTION: PSECU
TYPE OF ACCOUNT: (X) SAVINGS C ) CHECKING C ) TRUST
DATE ESTABLISHED 07-15-1976
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
14,915.94 NOTE:
X 0.166
2,486.04
_ 121.89
2,364..15
.045
X 106.39
PAYMENT RECEIPT
DATE NUMBER
JOINT OR TRUST ASSET INFORMATION
DISCOUNT C+~
INTEREST/PEN PAID ~-~
ACCOUNT NO.: 0196143380-S1
( ) TIME CERTIFICATE
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."
AMOUNT PAID
TOTAL TAX PAYMENT •~
INTEREST IS CHARGED THROUGH 08-10-2011 BALANCE OF TAX DUE 106.:
AT THE RATES APPLICABLE AS OUTLINED ON THE INTEREST AND PEN. '
REVERSE SIDE OF THIS FORM TOTAL DUE
~ IF PAID AFTER THIS DATE. SEE REVEE~UNDOR SEE CREVERSE S DE DOFTTHISLFORMEFORTINSTRUCTIDNS IS REFLECTED AS A
"CREDIT" (CR), YOU MAY BE DUE A R
-1170 EX (01.70)
pennsylvania
_~ DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUA~TAXES
PO Box 280601
-CEDENT'S NAME Doris J. Sheppard
EVIEWED BY
Steven James
NUMBER
211196-14-3380
10164584
ITEM EXPLANATION OF CHANGES
=CHEDULE NO.
The value of the Royer's Flower bill has been applied against the value of the asset as a
I deduction.
INHERITANCE TAX
EXPLANATION
OF CHANGES
Panc 1
ROW