HomeMy WebLinkAbout06-17-13 INHERITANCE TAX
RECORD ADJUSTMENT � pennsylvania
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION REV-1604 EX AFP (12-12)
PO BOX 280601
HARRISBURG PA 17128-0601
��G�a't3.`:=� {�i�'�C� �F DATE 06-05-2013
RG�`I� � �i`� OF ���I�E.S ESTATE OF HOCK LARUE C
DATE OF DEATH 04-02-2011
�p �} FILE NUMBER 21 11-0474
s`.��3 JUN 17 pl l 1 .L� COUNTY CUMBERLAND
SSN/DC 174-03-9089
JARED L HOCK $- ACN 11162182
1055 SQUIRES DR ����� �'
WEST CHESTER Pd)ft��4�o�AURT Amount Remitted
CUMBERLANQ GO., PA
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 �
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REV-1604 EX AFP C12-12)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 06-05-2013
ESTATE OF: HOCK LARUE C DATE OF DEATH: 04-02-2011 COUNTY: CUMBERLAND
FILE NO. : 21 11-0474 S.S/D.C. N0. : 174-03-9089 ACN: 11162182
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: GRAYSTONE TOWER BANK ACCOUNT NO . : 7o1ss610
TYPE OF ACCOUNT: C ) SAVINGS C ) CHECKING O TRUST ( b TIME CERTIFICATE
DATE ESTABLISHED 04-02-2011
Account Balance •00 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 1 .000 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax •�� OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - •�� PAYMENT TO THE REGISTER OF WILLS
Taxable Amount •00 AT THE ADDRESS SHOWN ABOVE.
Tax Rate X .045 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due •�� T0: "REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) pMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
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 707AL DUE IS REFLECTED AS A
"CREDIT^ (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. \
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