HomeMy WebLinkAbout08-29-14 INHERITANCE TAX Pennsylvania
RECORD ADJUSTMENT �7'
„ JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES REV-1604 EX AFP (12-13)
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 08-21-2014
ESTATE OF RYNARD MARY E
DATE OF DEATH 02-28-2012
FILE NUMBER 21 12-0330
COUNTY 21CUMBERLAND
SSN/DC
RUSSELL L RYNARD ACN 12124133
32 TUNBRIDGE LN Amount Remittee
CARLISLE PA 17015-7684
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE --0- RETAIN LOWER PORTION FOR YOUR RECORDS 4--
REV-1604 EX AFP (12-13)��
a■ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ■�I
DATE: 08-21-2014
ESTATE OF: RYNARD MARY E DATE OF DEATH: 02-28-2012 COUNTY: 21CUMBERLAND
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 ( X) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 12-08-1993
Account Balance 8,724.87 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 0.500 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax 4,362.44 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - •00 PAYMENT TO THE REGISTER OF WILLS
Taxable Amount 4,362.44 AT THE ADDRESS SHOWN ABOVE.
Tax Rate X • 15 MAKE CHECK OR MONEY O"ER PAYABLE
Tax Due 654.37 TO: ^REGISIg OF WILIM, $.BENT."
TAX CREDITS: m = c 2 on
PAYMENT RECEIPT DISCOUNT C+) 2 L7 Cn
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID fV m m
04-14-2012 CD015847 32.72 621 . -T C1D t7 -
O O
O A -D
C� O 3 TI
O C Cj
T 1
v � r rn
> c.) C>
s
TOTAL TAX PAYMENT 654.38
BALANCE OF TAX DUE , 0 C
INTEREST AND PEN. .00
TOTAL DUE DICR
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. \
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2112-0330
pennsylvania INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION 0212 812012
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280801
DECEDENT'S NAME
Mary E Rynard 2112-0330
REVIEWED BY - ACN
Robin t Agent 191 12124133
ITEM
SCHEDULE NO EXPLANATION OF CHANGES
This account was requested to be billed separate from the estate therefore it was billed
correctly and monies received were applied to the above A C N.
No refund will be sent as account was separate from the estate.
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