HomeMy WebLinkAbout02-06-13INHERITANCE TAX
JOINTLI~E HELD ORJ TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES nT c
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HARRISBURG PA 17128-0601 REGIS - ER Or t~}LAS
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411 E GREE~i~-BERLAND CJ., PA
SHIREMANSTOWN PA 17011-6722
~ Pennsylvania
DEPARTMENT OF REVENUE
REV-1604 EX AFP (12-12)
DATE 01-24-2013
ESTATE OF FAUST CARL F
DATE OF DEATH 06-18-2011 Z
F I L E N UMBER ~fi6-b' +r'5'232 6 I Z r 3
COUNTY CUMBERLAND
SSN/DC
ACN 11185102
Amount Remitted
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 -16 0 4 EX AFP (12 -12 ) -..-------------------------------------------------
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ~*
DATE: 01-24-2013
ESTATE OF: FAUST CARL F DATE OF DEATH: 06-18-2D11 COUNTY: CUMBERLAND
FILE NO.: 70 0452326 S.S/D.C. N0.: ACN: 11185102
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK
TYPE OF ACCOUNT: (X) SAVINGS ( ) CHECKING ( ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 07-21-2009
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
5,025.60
X 0.500
2,512.80
2,512.80
.00
X .045
.00
NOTE: 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."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
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.
ACCOUNT NO.: 8132042883