HomeMy WebLinkAbout01-20-15 (2) INHERITANCE TAX
RECORD ADJUSTMENT Pennsylvania
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J ESTATE OF KAPP ELVERTA M
CLEF,, OF DATE OF DEATH 03-10-2014
FILE NUMBER 21 14-0270
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ACN 14116306
613 CHARLES ST
Amount Remitted
MECHANICSBURG PA 17055-6635
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 (11-14)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 01-12-2015
ESTATE OF: KAPP ELVERTA M DATE OF DEATH: 03-10-2014 COUNTY: CUMBERLAND
FILE NO. : 21 14-0270 S.S/D.C. NO. : ACN: 14116306
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS IST FCU ACCOUNT NO. : 472570-00
TYPE OF ACCOUNT: ( X) SAVINGS ( ) CHECKING C ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 08-06-2012
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
DATE NUMBER INTEREST/PEN PAID 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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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