HomeMy WebLinkAbout03-10-15 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 RECO )[D CFRICE Off'
HARRISBURG PA 17128-0601 L
F 1,71L LS
DATE 02-27-2015
� ESTATE OF MCALLISTER WILLIAM F
�p 1 L. ATE OF DEATH 03-02-2012
ILE NUMBER 21 13-1064
COUNTY CUMBERLAND
rt )F SSN/DC
MARGARET MCALLISTER (7 ;�P,. `" t��" _ ACN 12158006
30 GARBER ST Ci it M,. �. , I Amount Remitted
CHAMBERSBURG PA 17201-1504
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 �--
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REV-1604 EX AFP (11-14)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 02-27-2015
ESTATE OF: MCALLISTER WILLIAM F DATE OF DEATH: 03-02-2012 COUNTY: CUMBERLAND
FILE NO. : 21 13-1064 S.S/D.C. NO. : ACN: 12158006
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO. : 1691027197
TYPE OF ACCOUNT: ( ) SAVINGS ( X) CHECKING C ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 10-16-2000
Account Balance 5,061 .00 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 0.500 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax 2,530.50 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - •00 PAYMENT TO THE REGISTER OF WILLS
Taxable Amount 2,530.50 AT THE ADDRESS SHOWN ABOVE.
Tax Rate X •00 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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.