HomeMy WebLinkAbout03-10-15 (2) INHERITANCE TAX
RECORD ADJUSTMENT r pennsylvarna
r- r-1,401p LY HELD OR TRUST ASSETS f DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TA;FEi CO• -fi-D -• • f y L
INHERITANCE TAX DIVISIONe �• - n y REV-1604 EX AFP (11-14)
PO BOX 280601 t• i - � --
HARRISBURG PA 17128-0601
70'S1nR 10T 1 L t DATE 02-27-2015
ESTATE OF MCALLISTER WILLIAM F
-:- DATE OF DEATH 03-02-2012
FILE NUMBER 21 13-1064
COUNTY CUMBERLAND
r� SSN/DC
MARGARET MC 1L'-L-I-STER ACN 12158007
30 GARBER ST 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 4-
------------------------------------------------------------------------------------------------------------------------------------------------------------------
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: 12158007
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO. : 1694301621
TYPE OF ACCOUNT: CX) SAVINGS ( ) CHECKING C ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 07-26-2007
Account Balance 5,001.50 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 0.500 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax 2,500.75 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - •00 PAYMENT TO THE REGISTER OF WILLS
Taxable Amount 2,500.75 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 C+) 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.
V \