HomeMy WebLinkAbout08-13-12
INHERITANCE TAX
RECORD ADJUSTMENT pennsyLvania
~.P,I#T HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES {'n
INHERITANCE TAX DIVISION REV-1604 EX AFP (12-11)
PO BOX 280601[-r
HARRISBURG PA 17128-0601
AUG 13 PIS 12: 22 DATE 08-02-2012
ESTATE OF WENGER FRANCIS I
DATE OF DEATH 07-28-2011
FILE NUMBER 21 11-1012
COUNTY CUMBERLAND
ORPHN't') +CSSN/DC 178-16-0979
OLIVER L WENGENUMBERLAND (;0,, PA ACN 11152680
4718 E TRINDLE ROA
Amount Remitted
MECHANICSBURG PA 17055
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS F-
REV-1604 EX AFP (12-11)
INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS
DATE: 08-02-2012
ESTATE OF: WENGER FRANCIS I DATE OF DEATH: 07-28-2011 COUNTY: CUMBERLAND
FILE NO.: 21 11-1012 S.S/D.C. NO.:178-16-0979 ACN: 11152680
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1sT FCU ACCOUNT NO.: 207402-11
TYPE OF ACCOUNT: ( ) SAVINGS O0 CHECKING ( ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 09-30-2004
Account Balance 10,815.91 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 0.500 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax 5,407.96 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - 2,644.67 PAYMENT TO THE REGISTER OF WILLS
Taxable Amount 2,763.29 AT THE ADDRESS SHOWN ABOVE.
Tax Rate X .045 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due 124.35 TO: "REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-22-2011 CDO14998 5.07 96.36
INTEREST IS CHARGED THROUGH 08-17-2012 TOTAL TAX PAYMENT 101.43
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 22.92
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 21
TOTAL DUE 23-13
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.
REV-1470 EX (01-10)
pennsylvania INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
RR O R ox PA001671128-0601
DECEDENTS NAME FILE NUMBER
Frances I Wenger 2111-1012
REVIEWED BY ACN
Ross Garrett 11152680
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
A review of the expenses which you submitted has resulted in the approval of $2644.67 in
deductions credited to this account.
ROW Page 1