HomeMy WebLinkAbout06-08-15 (2) INHERITANCE TAX
RECORD ADJUSTMENT w pennsy Varna
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES - -- '
INHERITANCE TAX DIVISION REV-1604 EX AFP (11-14)
PO BOX 280601 t- _ n
HARRISBURG PA 17128-Ejk)P i! C
C G 1 C E V I
IC R V!!L L S' DATE 05-28-2015
ESTATE OF HEINAMAN NANCY
}��� p �m 1 J�7 DATE OF DEATH 03-01-2014
2-015
J U • fit 1 FILE NUMBER 21 14-1099
COUNTY CUMBERLAND
Ci C_f �i SSN/DC
PHILIP �},,),HEINAMAN - ACN 14116253
5608 MORECANDII'CT r
,,,-,.-,. Amount Remitted
MECHAI�I�S•BURG-- PA 17055-5434
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: 05-28-2015
ESTATE OF: HEINAMAN NANCY DATE OF DEATH: 03-01-2014 COUNTY: CUMBERLAND
FILE NO. : 21 14-1099 S.S/D.C. NO. : ACN: 14116253
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION : MEMBERS IST FCU ACCOUNT NO . : 133053-i1
TYPE OF ACCOUNT: ( ) SAVINGS ( X) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 06-24-1993
Account Balance 1,204.86 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 0.500 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax 602.43 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - 776. 12 PAYMENT TO THE REGISTER OF WILLS
Taxable Amount •00 AT THE ADDRESS SHOWN ABOVE.
Tax Rate X .045 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due •00 TO: "REGISTER OF WILLS, AGENT."
TAX CREDITS :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
11-12-2014 CDO19921 .00 10.33
TOTAL TAX PAYMENT 10.33
BALANCE OF TAX DUE 10.33CR
INTEREST AND PEN. .00
TOTAL DUE
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.