HomeMy WebLinkAbout06-23-14 INHERITANCE TAX
RECORD ADJUSTMENT r pennsylvania
BUREAU OF INDIVIDUAL TAXES JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
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INHERITANCE TAX DIYZSZON REV•1504 IX AFF (12-13)
PO BOX 2SD6DI
HARRISBURG PA 17128-D601
DATE 06-16-2014
ESTATE OF WRIGHTS GLORIA G
DATE OF DEATH 03-19-2013
FILE NUMBER 21 13-0361
COUNTY CUMBERLAND
SSN/DC 208-50-5597
APRIL C WRIGHTS ACN 13117169
2 WILLOW DR
SHIPPENSBURG PA 17257-9430 Amount !!��9
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 E-
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REV-1604 EX AFP (12-13)
INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS
DATE: 06-16-2014
ESTATE OF: WRIGHTS GLORIA G DATE OF DEATH: 03-19-2013 COUNTY: CUMBERLAND
FILE NO. : 21 13-0361 S.S/D.C. NO. : 208-50-5597 ACN: 13117169
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION : MEMBERS 1ST FCU ACCOUNT NO. : 420978-00
TYPE OF ACCOUNT: ( X) SAVINGS C ) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 06-04-2011
Account Balance .00 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 0.500 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax .00 OF THIS NOTICE WITH YC@A TAX -:�o
Debts and Deductions - .00 PAYMENT TO THr-REGISTE!9OF�,iIVLS
Taxable Amount • 0D AT THE ADDRESS-,SHOWN ABVE C? ca
Tax Rate X •045 MAKE CHECK ORS MON'EY ORDI`R PXYAR LE
Tax Due •00 TO: °REGISTERCI06 WILLW A6ENT•1"
TAX CREDITS: o
PAYMENT RECEIPT DISCOUNT {+) AMOUNT PAID n =D -+1
DATE NUMBER INTEREST/PEN PAID f-)
F-
iu rn�
L -n
+' co
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE
INTEREST AND PEN. 00
TOTAL DUE
+ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLFCTED AS A
"CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. �.�