HomeMy WebLinkAbout03-21-14 (2) INHERITANCE TAX n v`
RECORD ADJUSTMENT renns I.Vania
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF AXDIV SIGN TAXES INHERITANCE TAX DIVISION REV-1604 IX AFP (32-I3)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 03-13-2014
ESTATE OF KEHLER DOROTHY G
DATE OF DEATH 02-08-2011 /
FILE NUMBER 70 0439078 ,a� - I —IOOI
COUNTY CUMBERLAND
SSN/DC
HARRY D KEHLER ACN 11137471
421 LINCOLN ST Amount RemitteE
YORK PA 17401-2921
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 +—
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REV-1604 EX AFP (12-13)
*a INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS *I:
DATE: 03-13-2014
ESTATE OF: KEHLER DOROTHY G DATE OF DEATH: 02-08-2011 COUNTY: CUMBERLAND
FILE NO. : 70 0439078 S.S/D.C. NO. : ACN: 11137471
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION : SOVEREIGN BANK ACCOUNT NO . : 8232061936
TYPE OF ACCOUNT: ( X) SAVINGS C ) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 11-13-2009
Account Balance 20,347.18 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 0 .500 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax 10,173.59 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions .00 PAYMENT TO THE REGISTER OF WILLS �i
Taxable Amount 10,173.59 AT THE ADDRESS SHOWN A"VE.
Tax Rate X • 045 MAKE CHECK ORCMONEY ORV9R FWYALE
Tax Due 457.81 TO: "REGISTO&P WILD A&g
TAX CREDITS: °
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID r— N rT m
DATE NUMBER INTEREST/PEN PAID C-J M' _ rn N ;t3
TI
i'J y C7 'DTI
ps
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INTEREST IS CHARGED THROUGH 03-28-2014 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 457.
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 32.
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.