HomeMy WebLinkAbout03-21-14 (3) INHERITANCE TAX Pennsylvania
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES REV-1604 EX AFP C12-133
INHERITANCE TAX DIVISION
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 at-12,-LOOS
COUNTY CUMBERLAND
SSN/DC
HARRY D KEHLER ACN 11137470
421 LINCOLN ST Amount Remit#ed
YORK PA 17401-2921
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE •—I- RETAIN LOWER PORTION FOR YOUR RECORDS E--
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REV-1604 EX AFP (12-13)
■ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS
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: 11137470
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO. 1 8231025723
TYPE OF ACCOUNT: ( ) SAVINGS ( X) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 04-30-1981
Account Balance 840.68 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 0.500 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax 420.34 OF THIS NOTICE WITH Y!t TAX:0
Debts and Deductions - •00 PAYMENT TO TF@ REGISTEf� OFc4p;LS
Taxable Amount 420.34 AT THE ADDRESS 5OWN *VEE? O
Tax Rate X .045 MAKE CHECK 00@E6 OFWR 6,?LE
Tax Due 18.92 TO: "REGISTEP [= FiLLV. At" C•'
TAX CREDITS : v u? cO o
PAYMENT RECEIPT DISCOUNT C+) C? p
DATE NUMBER INTEREST/PEN PAID C-3 AMOUNT PAID
p
t--A tom" C>
INTEREST IS CHARGED THROUGH 03-28-2014 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 18.92
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1.35
TOTAL DUE 1 20.27
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.