HomeMy WebLinkAbout01-12-15 INHERITANCE TAX
RECORD ADJUSTMENT pennsyLvania
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION REV-1604 EX AFP (11-14)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 12-30-2014
ESTATE OF MORGAN BETTY M
DATE OF DEATH 08-09-2012
FILE NUMBER 21 14-0536
COUNTY CUMBERLAND
SSN/DC
DENISE R DOTSON ACN 13136400
APT 2 Amount Remitted
706 HUMMEL AVE
LEMOYNE PA 17043-1831
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 01-14)
INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS
DATE: 12-30-2014
ESTATE OF: MORGAN BETTY M DATE OF DEATH: 08-09-2012 COUNTY: CUMBERLAND
FILE NO. : 21 14-0536 S.S/D.C. NO. : ACh: 13136400
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO . : 5140319729
TYPE OF ACCOUNT: ( ) SAVINGS ( X) CHECKING TRUST TIME CERTIFICATE
DATE ESTABLISHED 06-28-1983
Account Balance .00 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 0.500 ACCOUNT, SUBMIT THE W ER PORTION
Amount Subject to Tax .00 OF THIS NOTIRE WITH MR TA"
Debts and Deductions - .00 PAYMENT TO ME5EGISTER OTWALLS
Taxable Amount .00 AT THE ADDRgS__0�"WN_"OVg; �
Tax Rate X .15 MAKE CHECK t3it MONEY INWER4�ABLE
Tax Due 00 TO: "REGISTER WIL AGENT.""
TAX CREDITS: CLO -v i _T1
rl
-1 1 -
171 7
PAYMENT RECEIPT DISCOUNT AMOUNT PAID (7-�
DATE NUMBER INTEREST/PEN PAID — C'>
r M
C/)
—TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
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.