HomeMy WebLinkAbout08-20-14 (2) INHERITANCE TAX
RECORD ADJUSTMENT pennsylvania
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION REV-1604 IX AFP (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
SSN/DC
RUSSELL L RYNARD ACN 12124133
32 TUNBRIDGE LN
CARLISLE PA 17015-7684 Amount Remitted
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)
*■ 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: 12124133
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION : CITIZENS BANK OF PENNSYLVANIA ACCOUNT NO. : 6100888371
TYPE OF ACCOUNT: C ) SAVINGS CX) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 12-08-1993
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 • 15 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due •00 TO: "REGISTER RUWILLS,rArENT-01-1
TAX CREDITS :
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT N7 PAID fV I��trT
04-14-2012 CDO15847 .00 621.66 Z L')
�C
tC�CD
IV -rI
4a
TOTAL TAX PAYMENT 621.66
BALANCE OF TAX DUE1 621.66CR
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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.