HomeMy WebLinkAbout06-30-15 INHERITANCE TAX
RECORD ADJUSTMENT Pennsylvania
BUREAU OF INDIVIDUAL TAXES JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION REV-1604 EX AFP (11-14)
PO BOX 280601 RECCRDEG1 OFFICE OF
HARRISBURG PA 17128-0601
REGI TI ,) �� ` ��l_I DATE 06-05-2015
ESTATE OF COTTON JANET L
/015ATE OF 03-24-2014
(SUN 30 P' j Cn 3 Jv FILE NUMBERTH 21 15-0382
COUNTY CUMBERLAND
GLE, , OF SSN/DC 210-40-4489
JENNIFER L T,q L ORA , i� ACN 14123362
L1iIrh,,t: COURT 1363 PRINCE O� R
�J hl� - �j i � '''� � Amount Remitted
MECHANICSBU PA-'17056-�19!,WA
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: 06-05-2015
ESTATE OF: COTTON JANET L DATE OF DEATH: 03-24-2014 COUNTY: CUMBERLAND
FILE NO. : 21 15-0382 S.S/D.C. NO. : 210-40-4489 ACN: 14123362
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: METRO BANK ACCOUNT NO. : 7760441590
TYPE OF ACCOUNT: ( X) SAVINGS C ) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 03-05-2010
Account Balance 688.48 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 0.500 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax 344.24 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - 500.00 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 :
PDATENT RNUMBIPT DISCOUNT C+) AMOUNT PAID
ER INTEREST/PEN 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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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