HomeMy WebLinkAbout03-23-15 (2) INHERITANCE TAX
RECORD ADJUSTMENTpennsylvania
BUREAU OF INDIVIDUAL TAXES
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
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INHERITANCE TA� OLI�ISION REV-1604 EX AFP (11-14)
PO BOX 280601 Fl t((��/,n -—1 (' n
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HARRISBURG PA 1yy7.,J.?,8-0601 r
DATE 03-03-2015
�� ESTATE OF HILSHER HELEN G
DATE OF DEATH 09-14-2012
FILE NUMBER 21 14-0918
COUNTY CUMBERLAND
SSN/DC
JAME�`Rt�i';`.A':G'RINAVfiCH ACN 13157795
10 -' .u.T 'ALLEN DR Amount Remitted
MOUW
MECHANICSBURG PA 17055-6171
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE --1 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: 13157795
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WELLS FARGO ACCOUNT NO . : 001000070878326
TYPE OF ACCOUNT: ( ) SAVINGS ( X) CHECKING ( ) TRUST ( ) 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 C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
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)
t pennsylvania INHERITANCE TAX
TT^^ DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601
HARRISBURG- A 8-060
DECEDENTS NAME FILE NUMBER
Helen G. Hilsher 2114-0918
REVIEWED BY ACN
Joan , Agent#196 13157795
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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