HomeMy WebLinkAbout08-24-12 (2)INHERITANCE TAX
RECORD ADJUSTMENT
_ ~FECO~`.,_. ~~~,NzkY HELD OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES ~~~~~ e Uh
INHERITANCE TAX DIYISION (fir(v`.~-;~.- 1q
PG BOX 280601 Rcl's6,,:~°;~ „•" .{.~-~ j
HARRISBURG PA 17128-0601
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GARY A wILIBERLANDCO.,PA
610 WATEREDGE ROAD
L ITITZ PA 17543-8766
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DEPARTMENT OF REVENUE
REV-1604 EX AFP Q2-lll
DATE 08-21-2012
ESTATE OF WASSER PAULINE M
DATE OF DEATH 07-31-2011
FILE NUMBER 21 11-0929
COUNTY CUMBERLAND
SSN/DC 168-32-1344
ACN 11153583
Amount Remittetl
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 F
REV-1604 EX AFP C12-11)
*~ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ^^
DATE: 08-21-2012
ESTATE OF: WASSER PAULINE M DATE OF DEATH: 07-31-2011 COUNTY: CUMBERLAND
FILE NO.: 21 11-0929 S.S/D.C. N0.:168-32-1344 ACN: 11153583
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SUSQUEHANNA BANK ACCOUNT N0.: 10005852115
TYPE OF ACCOUNT: ( ) SAVINGS ( ) CHECKING ( ) TRUST IX) TIME CERTIFICATE
DATE ESTABLISHED LO-O1-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
52,105.38
X 0.166
8.684.48
8,684.40 __
X .045
391.25
NOTE: TO ENSURE PROPER CREDIT TO YOUR
ACCOUNT, SUBMIT THE UPPER PORTION
OF THIS NOTICE WITH YOUR TAX
PAYMENT TD 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 I-) ANDUNT PAID
08-23-2011 CD014918 19.54 371.34
08-20-2012 SBADJUST .00 .37
a
TOTAL TAX PAYMENT 391.25
BALANCE OF TAX DUE .00
INTEREST AND PEN. .0
TOTAL DUE
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL oUE IS REFLECTED AS A
^LREDIT" (LR). VOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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DEPARTMENT Of REVENUE
BUREAU OF INDIVIDUAL TA%ES
PO Box 280601 __
Pauline M Wasser
INHERITANCE TAX
EXPLANATION
OF CHANGES
2111-0929
11153581 1113583
tEVIEWED 8Y Ross Garrett
ITEM EXPLANATION OF CHANGES
SCHEDULE NO.
The tax rate has been adjusted on the above-referenced ACNs from 15 0 0
joint owner was the decedent's son.
as
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