HomeMy WebLinkAbout01-21-14 INHERITANCE TAX
RECORD ADJUSTMENT pennsylvania
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ---
INHERITANCE TAX DIVISION REV-1604 IX AFP (12-13)
PO BO% 280601 }}���+
HARRISBURG PA IT128-0601 RECORDED OFFICE O('
REGISTER OFppE�lO0�{�11' S 2014
ESTATE OF HUBER MARY E
UP� �l { l i 1 "fi'ILE NUMBER TH 21 13-0698
COUNTY CUMBERLAND
PHYLLIS E SMITH CLERK OF SSN/DC
12 SPRINGERS LN ORPHANS' COUR-( ACN 13139238
Amount Remitted
NEW CUMBERLAND PA l70jV' RL,AND CC„ PA ---
r
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS 4—
-------..__--------------__-_------_-__--------------_------------------_--------------__-_---------------------•._-_----------"__.._—._.—_---------
REV-1604 EX AFP (12-13)
INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ■*
DATE: 01-08-2014
ESTATE OF: HUBER MARY E DATE OF DEATH: 06-17-2013 COUNTY: CUMBERLAND
FILE NO. : 21 13-0698 S.S/D.C. NO. : 135-22-1174 ACN: 13139238
ADJUSTMENT BASED UN: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: METRO BANK ACCOUNT NO. 1626562185
TYPE OF ACCOUNT: ( X) SAVINGS C ) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 04-07-2005
Account Balance •D0 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 0.500 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax • D6 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions 1,649.57 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 .00 TO: "REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT t+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE no
x 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.