HomeMy WebLinkAbout08-20-14 INHERITANCE TAX
RECORD ADJUSTMENT pennsylvania
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES --
INHERITANCE TAX DIVISION REV-1604 IX AFT (12-13)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 08-08-2014
ESTATE OF RYNARD MARY E
DATE OF DEATH 02-28-2012
FILE NUMBER 21 12-0330
COUNTY CUMBERLAND
J SSN/DC
JOAN M GARCIACRUZ
ACN 12124132
98 PARTRIDGE CIR
Amount Remittetl
CARLISLE PA 17013-8753
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 (�
REV-1604 EX AFP (12-13)
x* INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ■■
DATE: 08-08-2014
ESTATE OF: RYNARD MARY E DATE OF DEATH: 02-28-2012 COUNTY: CUMBERLAND
FILE NO. : 21 12-0330 S.S/D.C. NO. : ACN: 12124132
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION : CITIZENS BANK OF PENNSYLVANIA ACCOUNT NO. : 6225746785
TYPE OF ACCOUNT: ( ) SAVINGS ( X) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 05-07-2010
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 YOUR TAX
Debts and Deductions - .00 PAYMENT TO THE REGISTER OF WILLS
Taxable Amount .00 AT THE ADDRESS SHOWN ABOVE.
Tax Rate X .045 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due .00 TO: "REGISTER OF WILLS, AGENT."
TAX CREDITS :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID a1 Z�
DATE NUMBER INTEREST/PEN PAID (-)
T:-
C:
TOTAL TAX PAYMENT x .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.