HomeMy WebLinkAbout06-16-14 • INHERITANCE TAX
A RECORD ADJUSTMENT Is 03 pennsylvarna
JOINTLY HELD OR TRUST ASSETS Y LAf DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES --
INHERITANCE TAX DIVISION REV-1604 a AFP (12-13)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 06-09-2014
ESTATE OF WOOD ELIZABETH W
DATE OF DEATH 07-15-2011
FILE NUMBER 21 13-0024
COUNTY CUMBERLAND
SSN/DC 259-80-9850
LAUREL E WOOD ACN 11183132
6315 STEPHENS XING
Amount Remitted
MECHANICSBURG PA 17050-2347
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)
x■ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ■■
DATE: 06-09-2014
ESTATE OF: WOOD ELIZABETH W DATE OF DEATH: 07-15-2011 COUNTY: CUMBERLAND
FILE NO. : 21 13-0024 S.S/D.C. NO. : 259-80-9850 ACN: 11183132
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION : WELLS FARGO ACCOUNT NO . : 1010060082662
TYPE OF ACCOUNT: ( ) SAVINGS ( X) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 03-14-2003
Account Balance 377.00 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 0 .500 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax 188.50 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - 1,945.00 PAYMENT TO THE REGIS--.ER OF WILLS
Taxable Amount •00 AT THE ADDRESS SHOW"BOVE.m
Tax Rate X .045 MAKE CHECK OR (MONEY QRDER;;'P�'ABLE
Tax Due •00 TO: "R EGISTHf�F WI &S, (AGENT."
f�l 7- <7 --i CD
TAX CREDITS : r 1- rn_ m
PAYMENT RECEIPT DISCOUNT (+) •' (n .J O
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-) Cn
:
73 C r RI
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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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2113-0024
pe111nsytVallla INHERITANCE TAX 259-80-9850
DEPARTMENT OF REVENUE 07115/2011
EXPEXPLANATION
BUREAU OF INDIVIDUALTAXES OF CHANGES
PO Box 280801
HASEMBURG,P6 3 7128,0601
DECEDENTS NAME
Elizabeth W Wood 2113-0024
REVIEWED BY
Robin/Agent 191 ACN 11183132
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
Applied cremation casts against the above A C N.
Changed tax rate from 15 percent to 4.5 percent since a daughter is a lineal beneficiary.
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