HomeMy WebLinkAbout03-23-15 (2) INHERITANCE TAX
RECORD ADJUSTMENT 1 �� pennsylvania
BUREAU OF INDIVIDUAL TAXES JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION REV-1604 EX AFP (11-14)
PO BOX 280601
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RE ^. ',";�-�j DATE 03-03-2015
ESTATE OF VERBOS ELLEN M
� p DATE OF DEATH 03-26-2012
X115 l ;fiR L3 1 � �i3 FILE NUMBER 21 12-0622
COUNTY CUMBERLAND
r - '7 SSN/DC
KARENC:-'-, ECKERT ACN 12157175
91($REMIL:Y":DR
Amount Remitted
�PGHANICSBURG PA, 17055-5707
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 (11-14)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 03-03-2015
ESTATE OF: VERBOS ELLEN M DATE OF DEATH: 03-26-2012 COUNTY: CUMBERLAND
FILE NO. : 21 12-0622 S.S/D.C. NO. : ACN: 12157175
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO. : 0571108008
TYPE OF ACCOUNT: C ) SAVINGS ( X) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 12-22-1982
Account Balance 15,016.99 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 0.500 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax 7,508.50 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - .00 PAYMENT TO THE REGISTER OF WILLS
Taxable Amount 7,508.50 AT THE ADDRESS SHOWN ABOVE.
Tax Rate X .045 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due 337.88 TO: "REGISTER OF WILLS, AGENT."
TAX CREDITS :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-31-2013 CDO18593 10.25- 1,151.40
04-09-2014 CDO19002 .00 9.05
TOTAL TAX PAYMENT 1,150.20
BALANCE OF TAX DUE 812.32CR
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.
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