HomeMy WebLinkAbout12-17-12INHERITANCE TAX
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES RECORDED OFFICE OF
INHERITANCE TAX DIV IS ION
HARRIS URG6PA 17128-Dbel REGISTER OF 1'~4LLS
~Ul~ DEC 17 fiill 11 `i8
CLERK OF
ORPHANS'C~URT
JANICE M MYERSC~MBERLAND CO., PA
60 VINE ST
NEWVILLE PA 17241
~ pennsylvania
DEPARTMENT OF REVENUE
REV-1604 EX AFP Q2-12)
DATE 12-10-2012
ESTATE OF ROBINSON WILLIAM R
DATE OF DEATH 05-23-2008
FILE NUMBER 21 08-0578
COUNTY CUMBERLAND
SSN/DC
ACN 08133018
Amount Re mftked
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-------- <"~
REV-1604 EX AFP (12-12)
~x INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ^^
DATE• 12-10-2012
ESTATE OF: ROBINSON WILLIAM R DATE OF DEATH: 05-23-2008 COUNTY: CUMBERLAND
FILE NO.: 21 08-0578 S.S/D.C. N0.: 201-18-8921 ACN: 08133018
wn nicTMOMT AASFfI ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ADAMS COUNTY NATIONAL BANK ACCOUNT NO.: 172685
TYPE OF ACCOUNT: ( ) SAVINGS ( ) CHECKING ( ) TRUST (X) TIME CERTIFICATE
DATE ESTABLISHED 07-26-2007
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
.00 NOTE:
X 1.000
.00
.00
15
00
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."
IAA ~.rtcua~
PAYMENT
DATE •a.
RECEIPT
NUMBER
DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
a
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE ,p
INTEREST AND PEN. .00
TOTAL DUE
IF PAID AFTER TNIS DATE, SEE REVERSE FOR CALCULATION DF 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.
a
INHERITANCE TAX
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION RECORDED O F F1 C E O F
PO 00X 280601
HARRISBURG PA 17128-0601 ~, ,,~
REGI5T R OF a .:_'_S
(C12 CEC 17 R[`I ~i `?~
CLERK OF
JANICE M MYER~RPHANS' COURT
60 VINE ST GU~ti~F~~~.~ND CO., PA
NEWVILLE
. pennsylvania
DEPARTMENT OF REVEN UE
REV-1604 EX AFP (12-12)
DATE 12-10-2012
ESTATE OF ROBINSON WILLIAM R
DATE OF DEATH 05-23-2008
FILE NUMBER 21 08-0578
COUNTY CUMBERLA
ACN 08133019
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-_--_-E"'
REV-1604 EX AFP (12-12)
~^ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETSI2*10-2012
DATE:
ESTATE OF: ROBINSON WILLIAM R DATE OF DEATH: 05-23-2008 COUNTY: CUMBERLAND
NO.: 21 08-
S/D.C. N0.:201-18-89[1
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
081330
FINANCIAL INSTITUTION: ADAMS couNTY NAIL BANK ACCOUNT N0.: 9625356
TYPE OF ACCOUNT: (X) SAVINGS C ) CHECKING ( ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 01-03-2006
Account Balance
Percent Taxable
Amount SubJect to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
X 1.000
.00
_ .00
.00
X .15
.00
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."
DISCOUNT (+) I AMOUNT PAID
INTEREST/PEN PAID (-1
BALANCE OF TAX DUE ,(
INTEREST AND PEN. ,(
TOTAL DUE
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TDTAL DUE IS REFLECTED AS A
"CREDIT" (CR), VDU MAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
V