HomeMy WebLinkAbout10-15-13 INHERITANCE TAX
RECORD ADJUSTMENT p ,_ Pennsylvania
BUREAU OF INDIVIDUAL TAXES JOINTLY HELD OR TRUST ASSETS - DEPARTMENT OF REVENUE
INHERITANCE TAX DIV2615NG 0 R L)L tt 0 F(0L OF - REV-1604 IXAFP t12-12]
HARRISBURG PA 27126-Y0601- tt!^� rU i� f t�
i LCISTER OF 6"."LLS
q DATE 10-02-2013
i� � ESTATE OF FINNEGAN DOROTHY
DATE OF DEATH 10-17-2011
FILE NUMBER 21 12-0443
C U K COUNTY CUMBERLAND
JUDITH QPi MARIZNEILijT SSN/DC
ACN
1722 BRqIl`6o-tSSTL/AND CO., PA 12141312
Amoun# Remi tted
NEW CUMBERLAND PA 17070-1124 ��--
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 4-
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REV-1604 EX AFP (12-12)
*■ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS N*
DATE: 10-02-2013
ESTATE OF: FINNEGAN DOROTHY DATE OF DEATH: 10-17-2011 COUNTY: CUMBERLAND
FILE NO. : 21 12-0443 S.S/D.C. NO. : ACN: 12141312
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WELLS FARGO ACCOUNT NO. : 001010313654116
TYPE OF ACCOUNT: ( ) SAVINGS ( ) CHECKING ( X) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 03-16-2011
Account Balance .00 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 1.000 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax • 00 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - .00 PAYMENT TO THE REGISTER OF WILLS
Taxable Amount .DO AT THE ADDRESS SHOWN ABOVE.
Tax Rate X • 15 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due .00 TO: 'REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-7
TOTAL TAX PAYMENT_ ,00
BALANCE OF TAX DUE .00
INTEREST AND PEN. _ .00
TOTAL DUE Tin
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. {�,-[}h}
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