HomeMy WebLinkAbout06-17-15 INHERITANCE TAX
RECORD ADJUSTMENT pennsyLvarna
JOINTLY HELD OR TRUST ASSETS
DEPARTMENT OF REVENUE
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17 ���I �� U� DATE 06-03-2015
JUIN J ESTATE OF REHM II NORMAN J
_ DATE OF DEATH 06-01-2014
CLEIti ', O FILE NUMBER 21 14-0617
ORPHANS' COURT COUNTY CUMBERLAND
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J94B' ' Nt-R SSN/DC
.-�� -�A��""•� E�I�1.� ACN 14134405
1126 BALDWIN ST
MECHANICSBURG PA 17055-3934 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 +_
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REV-1604 EX AFP (11-14)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 06-03-2015
ESTATE OF: REHM II NORMAN J DATE OF DEATH: 06-01-2014 COUNTY: CUMBERLAND
FILE NO. : 21 14-0617 S.S/D.C. NO. : ACN: 14134405
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: METRO BANK ACCOUNT NO . : 2840134452
TYPE OF ACCOUNT: ( ) SAVINGS ( X) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 11-23-2011
Account Balance 1,363. 15 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 0.500 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax 681 .58 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - •00 PAYMENT TO THE REGISTER OF WILLS
Taxable Amount 681 .58 AT THE ADDRESS SHOWN ABOVE.
Tax Rate X .045 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due 30.67 TO: "REGISTER OF WILLS, AGENT."
TAX CREDITS :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
06-28-2014 CDO19373 1.53 29. 14
TOTAL TAX PAYMENT 30.67
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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.