HomeMy WebLinkAbout05-20-15 (2) INHERITANCE TAX •
RECORD ADJUSTMENT � �. pennSytvarna
BUREAU OF INDIVIDUAL TAXES JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION REV-1604 EX AFP (I1-14)
PO BOX 28060 n n,-n !'-?,7 j V` O,-
HARRISIR fIV128-0601
1
LL DATE 05-05-2015
�nlC {�� �O � ESTATE OF RUGGIERI JOAN
U J DATE OF DEATH 01-10-2013
FILE NUMBER 21 14-1155
- COUNTY CUMBERLAND
G1 SSN/DC
A N � 'L' FALVO ACN 14101307
6 0 QARRISTON RD
0&} K- 'HAVEN PA 17370-9160 Amount Remitted
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 F-
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REV-1604 EX AFP (11-14)
* INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 05-05-2015
ESTATE OF: RUGGIERI JOAN DATE OF DEATH: 01-10-2013 COUNTY: CUMBERLAND
FILE NO. : 21 14-1155 S.S/D.C. NO. : ACN: 14101307
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SANTANDER BANK ACCOUNT NO . : 0771023375
TYPE OF ACCOUNT: ( ) SAVINGS ( X) CHECKING ( ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 09-04-2002
Account Balance 2,336. 10 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 0.500 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax 1,168.05 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - •00 PAYMENT TO THE REGISTER OF WILLS
Taxable Amount 1,168.05 AT THE ADDRESS SHOWN ABOVE.
Tax Rate X .045 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due 52.56 TO: "REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 05-20-2015 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 52.56
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 2.53
TOTAL DUE 55.09
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)
2114-1155
pennsylvania INHERITANCE TAX
DEPARTMENT OF REVENUE 01/10/2013
EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 28061701
HARRI B R PA 128-060
DECEDENTS NAME
Joan Ruggieri 2114-1155
REVIEWED BY ACN
Robin /Agent 191 14101966
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
Applied debts of$ 5,934.44 against the above A C N.
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