HomeMy WebLinkAbout01-18-13BUREAU DF INDIVIDUAL TAXES
INHERITANCE TAX OIDSSION
PO BOX 280601
HARRISBURG PA 1]128-0601
INHERITANCE TAX
RECORD ADJUSTMENT ~ pennsylvania
JOINTLY HELD OR TRUST ASSETS DEPARTME NT OF REVENUE
REV-1604 EX AFP (12-12)
RECORC~p nr~ ~r C~,DATE 01-o4-zD13
y.'. 9f,.a ESTATE OF HOFFMAN DONNA F
R EG~$T~~i Ct` ~,,~,; DATE OF DEATH 01-23-2012
"' ~.-'~y FILE NUMBER 21 12-0179
tGi3 .;hPJ i$ pm COUNTY CUMBERLAND
i°{ 7 SSN/D
CATHERINE S GREELEY ~' `~~ pCN 12111362
402 CROSSROAD SCHOOL RD CL c-,~
{r~jK ;,
CARLISLE PA 17,94
CUMBERLA~!~ ,^~± ,~
Amount Remlttad
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 H
REV-1604 EX AFP (12-12)
^~ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ^^
DATE: 01-04-2013
ESTATE OF: HOFFMAN DONNA F DATE OF DEATH: 01-23-2012 COUNTY: CUMBERLAND
FILE NO.: 21 12-0179 S.S/D.C. N0.:195-28-0030 ACN: 12111362
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: sUSOUEHANNA BANK ACCOUNT N0.:10009940213
TYPE OF ACCOUNT: C ) SAVINGS (X) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 10-28-2811
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00 N07E:
X 1.000
.00
.00
.00
X .uv~
.00
TO ENSURE PROPER CREDIT TO YOUR
ACCOUNT, SUBMIT THE UPPER PORTION
OF THIS NOTICE WITH YOUR TAX
PAYMENT 70 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
INTEREST/PEN (+)
PAID
C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 0
INTEREST AND PEN. 0
TOTAL DUE
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS p
"CREDIT" (CRT, YOU MAY HE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
~ 7.~