HomeMy WebLinkAbout12-08-14 INHERITANCE TAX
RECORD ADJUSTMENT Pennsylvania
BUREAU OF
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
INDIVIDUAL TAXES
INHERITANCE TAX DIVISIOONREV-1604 EX AFP (12-13)
PO BOX 280601
HARRISBURG PA 1712819,&2ORDcD OFFICE
OF
REGISTER OF WILLS DATE 10-30-2014
t
CP p ESTATE OF WILSON FERN E
2014 OEC 8 f 11 12 26 DATE OF DEATH 06-14-2011
FILE NUMBER 21 11-0822
CLERK OF COUNTY CUMBERLAND
1 SSN/DC
STANLEY Of P�4�A �NCMJRT ACN 11149553
1001 O P Amount Remitted
MECHAN B' L�. f�A X17950-2076
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 4__
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REV-1604 EX AFP (12-13)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 10-30-2014
ESTATE OF: WILSON FERN E DATE OF DEATH: 06-14-2011 COUNTY: CUMBERLAND
FILE NO. : 21 11-0822 S.S/D.C. NO. : ACN: 11149553
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO. : 5140069512
TYPE OF ACCOUNT: C ) SAVINGS ( X) CHECKING ( ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 01-01-1978
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 C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
TOTAL TAX PAYMENT .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.