HomeMy WebLinkAbout02-06-13 (2).~ _
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
CLERK OF
BETH E WALTERS ORPHANS' CURT
411 E GREEN ST CUM~END CO,, PA
SHIREMANSTOWN PA 1701
INHERITANCE TAX
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
~'-`T~~~~ 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 `/
FILE NUMBER ~ w - 2~~ b
COUNTY CUMBERLAND
SSN/DC 165-18-3985
ACN 11185101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
RECORDED OFFICE OF
REGISTER OF '~'~I~LS
lGi3 PEB 6 Pik 1 ~i~
CUT ALONG THIS LINE ~! RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1604 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: 06-18-2011 COUNTY: CUMBERLAND
FILE NO.: 70 0452326 S.S/D.C. N0.:165-18-3985 ACN: 11185101
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT N0.:8131000079
TYPE OF ACCOUNT: ( ) SAVINGS (X) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 05-27-1999
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
5,345.45
X 0.500
2,672.73
_ 2,672.73
.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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.