HomeMy WebLinkAbout06-30-14 INHERITANCE TAX �y
JOINTLY RE HELD ADJUSTMENT TRUST ASSETS pennsytvania
DEPARTMENT OF REVENUE
BUREAU OF TX DIVISION TAXES REV-1604 a AFP (12.13)
INHERITANCE TAX DIV SS ION
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 06-17-2014
ESTATE OF HERWIG SARAH C
DATE OF DEATH 05-22-2012
FILE NUMBER 21 12-1257
COUNTY CUMBERLAND
SSN/DC
EILEEN M WESTENHEFFER ACN 12164531
STE 8 Amount Remittetl
4905 E TRINDLE RD — ---
MECHANICSBURG PA 17050-3662
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 4 -
-------"'_---._----------_--'---_..,_--_.._--_------_------_.._..__-_----------------_--_-._--------
REV-1604 EX AFP (12-13}
INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ■■
DATE: 06-17-2014
ESTATE OF: HERWIG SARAH C DATE OF DEATH: 05-22-2012 COUNTY: CUMBERLAND
FILE NO. : 21 12-1257 S.S/D.C. NO. : 214-07-3342 ACN: 12164531
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO. : 5140028542
TYPE OF ACCOUNT: ( ) SAVINGS CX) CHECKING t } TRUST t } TIME CERTIFICATE
DATE ESTABLISHED 12-01-1964
Account Balance •d0 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 0. 166 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 ABOVE.
Tax Rate X •15 MAKE CHECK: OR MONE7E ORDEriVE;nPAYABLE
Tax Due .00 TO: ^REGLSTER OF dULLW5,'7 3GENT."
TAX CREDITS: CO ° c7 �
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID^ .tea. Fs7 w rn
DATE NUMBER INTEREST/PEN PAID (-)
p Cn
r m
' Cr) C�
UT
TOTAL TAX PAYMENT . 00
BALANCE OF TAX DUE .DO
INTEREST AND PEN. 00
TOTAL DUE nn
• 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.
r�3"�
REV-1470 Ex(01-10)
It
pennsytva is INHERITANCE TAX
Y, , DEPARTMENT OF REVENUE EXPLANATION 5/22/2012
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280801
HAR 17128-0601
DECEDENTS NAME FILE NUMBER
Sarah C. Herwig 2112-1257
REVIEWED BY - ACN
Steven James 12164531
ITEM
SCHEDULE NO, EXPLANATION OF CHANGES
The above-referenced ACN has been reduced to zero as this account was reported on the
probate return.
c o r
z c G' c,
o CD �1
rn
7> Ln 777 O �
._.. n
F, r m
r
cn
ROW Page 1