HomeMy WebLinkAbout05-24-13 INHERITANCE TAX
RECORD ADJUSTMENT pennsyLvama
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES -
INHERITANCE TAX DIVISION REV-1604 IX AFP (12-12)
PO BOX 280601
HARRISBURG PA 17128-0601
RECORDED tl f';";CE OF DATE 05-20-2013
ESTATE OF MORRIS BETTY F
REGISTER OF WILLS DATE OF DEATH 03-11-2012
7 p FILE NUMBER 21 12-1149
COUNTY.'D AM 24 F f 2 0U SSN/DC 234662-9802
CAROL CUTLIP ACN 12156838
85 COURTYARD DR CLERK OF
�, Amount Remitted
CARLISLE VPE1L AQ��- q,p Vl)I(f
CUMBERLAND CO., PA MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE 1 RETAIN LOWER PORTION FOR YOUR RECORDS
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REV-1604 EX AFP (12-12)
■ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS
DATE: 05-20-2013
ESTATE OF: MORRIS BETTY F DATE OF DEATH: 03-11-2012 COUNTY: CUMBERLAND
FILE NO. : 21 12-1149 S.S/D.C. NO. : 234-62-9802 ACN: 12156838
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION : WELLS FARGO ACCOUNT NO . : oalalo198621160
TYPE OF ACCOUNT: ( ) SAVINGS ( X) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 02-15-2008
Account Balance •00 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 0 .500 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax •00 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions •00 PAYMENT TO THE REGISTER OF WILLS
Taxable Amount •00 AT THE ADDRESS SHOWN ABOVE.
Tax Rate X • 12 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due •00 TO: "REGISTER OF WILLS, AGENT."
TAX CREDITS :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-07-2013 CDO17018 .00 63.04
TOTAL TAX PAYMENT 63. 04
BALANCE OF TAX DUE 63.04CR
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. A^1
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