HomeMy WebLinkAbout06-16-14 INHERITANCE TAX W pennsylvania
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES REV-1604 EX AFP (12-13)
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 06-09-2014
ESTATE OF ROBINSON PEARL I
DATE OF DEATH 02-10-2011
FILE NUMBER 21 11-0276
COUNTY CUMBERLAND
SSN/DC 171-28-4887
CHARLES J ROBINSON ACN 11168579
225 W MAIN ST Amount Remitted
WALNUT BOTTOM PA 17266-9708
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 F
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REV-1604 EX AFP (12-13)
■ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS *■
DATE: 06-09-2014
ESTATE OF: ROBINSON PEARL I DATE OF DEATH: 02-10-2011 COUNTY: CUMBERLAND
FILE NO. : 21 11-0276 S.S/D.C. NO. : 171-28-4887 ACN: 11168579
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: CITIZENS BANK OF PENNSYLVANIA ACCOUNT NO . : 6100800466
TYPE OF ACCOUNT: ( ) SAVINGS ( X) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 03-29-1980
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 .00 AT THE ADDRESS SHOWN .MOVE. vv
Tax Rate X • 15 MAKE CHECK OR�)MONEY O"ER D-A11;•ABLE
Tax Due • 00 TO: "REGISTEER qF WILC, ArGE ."
TAX CREDITS :
PAYMENT RECEIPT DISCOUNT (+) " ) (� F� FYI f1T
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID I— (T)
z7
4 r) CD
J C7 O
=-3 .+ �
c ~' 1— IT
F I-
n — Cf) b
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 TOTAL 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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