HomeMy WebLinkAbout04-06-15 INHERITANCE TAX '
RECORD
RECORD ADJUSTMENT Tf-,, / pennsyLvania
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES bw
INHERITANCE TAX DIVISION REV-1604 EX AFP (11-14)
PO BOX 280601 D
HARRISBURG PA tVU_QJ31DED OFFICE OF,
REGIS ER OF WILLS DATE 03-26-2015
?01S RPR 6 9n 1194 DATEESTATE OFOF DEATH 06-25-2013VANDERSLICE PEGGY J
FILE NUMBER 21 13-0744
CLERK OF COUNTY CUMBERLAND
SSN/DC
PATRIUM0 H A I P91D EYNJRT ACN 13172018
3211. ptk Amount Remitted
' ' .'
NEW 0AAND PA 17070-1913
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
—-—------—--—----------------—
REV-1604 EX AFP (11-143
INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS
DATE: 03-26-2015
ESTATE OF: VANDERSLICE PEGGY J DATE OF DEATH: 06-25-2013 COUNTY: CUMBERLAND
FILE NO. : 21 13-0744 S.S/D.C. NO. : ACN: 13172018
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION : SANTANDER BANK ACCOUNT NO. : 0771026439
TYPE OF ACCOUNT: C ) SAVINGS ( X) CHECKING TRUST TIME CERTIFICATE
DATE ESTABLISHED 04-28-1988
Account Balance .00 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 0.500 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax .00 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - .00 PAYMENT TO THE REGISTER OF WILLS
Taxable Amount .00 AT THE ADDRESS SHOWN ABOVE.
Tax Rate X . 15 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due .00 TO: "REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMDATE NUMBENT RECEIER INTEREPT DISSTCOUNT/PEN PAID AMOUNT PAID
-
—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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.