HomeMy WebLinkAbout03-23-15 INHERITANCE TAX
JOINTLY HELD ORD OR OR ASSETS is , DEPARTMENT OF REVENUE pennsyLvania
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION REV-1604 EX AFP (I1-14)
PO BOX 280601
HARRISBURG PA 17128� D
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LS DATE 03-03-2015
ESTATE OF HILSHER HELEN G
7�1� �K 1 �� �� 1 93 FILE
OF DEATH 09-14-2012
l FILE NUMBER 21 14-0918
COUNTY CUMBERLAND
SSN/DC
MARIPAT G WEHMAN ACN 13157794
1 BANBURI0,R5H A�!' -" _
Amount Remitted
HUMMELVgWH."-":' ` PA 17036-9543
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: HILSHER HELEN G DATE OF DEATH: 09-14-2012 COUNTY: CUMBERLAND
FILE NO. : 21 14-0918 S.S/D.C. NO. : ACN: 13157794
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WELLS FARGO ACCOUNT NO. : 001000070878326
TYPE OF ACCOUNT: C ) SAVINGS ( X) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 06-21-1991
Account Balance 12,785.72 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 0. 166 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax 2,131 .00 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - •00 PAYMENT TO THE REGISTER OF WILLS
Taxable Amount 2,131.00 AT THE ADDRESS SHOWN ABOVE.
Tax Rate X .045 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due 95.90 TO: "REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
INTEREST IS CHARGED THROUGH 03-18-2015 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 95.90
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 5.05
TOTAL DUE 100.95
* 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.
REV-1470 EX(01-10)
pennsytvanla INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601
HARRISBURG-PA 17128-0601
DECEDENT'S NAME FILE NUMBER
Helen G. Hilsher 2114-0918
REVIEWED BY ACN
Joan , Agent#196 13157794
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
The above referenced Account Control Number has been adjusted to reflect that the tax
rate has been changed from 15% to 4.5%.
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