HomeMy WebLinkAbout07-28-14 INHERITANCE TAX
RECORD ADJUSTMENT pennsyLvarna
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION REV-1604 EX AFP (12-13)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 07-15-2014
ESTATE OF BEAUDUY RUTH E
DATE OF DEATH 01-17-2013
FILE NUMBER 21 13-0152
COUNTY CUMBERLAND
SSN/DC 146-16-7040
CECILIA C BEAUDUY ACN 13111259
1709 BRIDGE ST Amount Remitted
NEW CUMBERLND PA 17070-1141
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE 1 RETAIN LOWER PORTION FOR YOUR RECORDS 4—
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REV-1604 EX AFP (12-13)
■* INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ■
DATE: 07-15-2014
ESTATE OF: BEAUDUY RUTH E DATE OF DEATH: 01-17-2013 COUNTY: CUMBERLAND
FILE NO. : 21 13-0152 S.S/D.C. NO. : 146-16-7040 ACN: 13111259
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WELLS FARGO ACCOUNT NO . : 1000190417353
TYPE OF ACCOUNT: ( ) SAVINGS ( X) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 10-27-1986
Account Balance 1,581 .87 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 0.500 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax 790.94 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - . 00 PAYMENT TO THE REGISTER OF WILLS
Taxable Amount 790.94 AT THE ADDRESS SHOWN ABOVE.
Tax Rate X .045 MAKE CHECK OR OnY ORDER PAYABL-E
Tax Due 35.59 TO: "REGISTER fEOWILLS&GE17fi'^
M
TAX CREDITS: C"
PAYMENT RECEIPT DISCOUNT C+) 00 1i
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID ri
7? Cn Co O
T
INTEREST IS CHARGED THROUGH 07-30-2014 TOTAL TAX PAYMENT . 00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 35.59
REVERSE SIDE OF THIS FORM INTEREST AND PEN. .83
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.