HomeMy WebLinkAbout07-20-15 INHERITANCE TAX
RECORD ADJUSTMENT . pennsylvania
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION REV-1604 EX AFP (11-14)
PO BOX 280601 E gGq(�DE,n OTFIC0f
HARRISBURG PA 1 0 U L
REGISTER OF DILLS
�p L, DATE 07-09-2015
?�1n 1JC JUL 2U nn n� 2 I0 DATEESTATOFOF LAUGHMAN DEATH 03-15-2014 BETTIE J
FILE NUMBER 21 14-0295
CLERK OF COUNTY CUMBERLAND
CHAR LE($RP6l7GvHM ; " SSN/DC _
TAN� I ACN 14124153
967 0@(M9EN1LH,'%5Dco '
SHIPPENSBURG PA 17257-9753 Amount Remitted
Y
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE --)I RETAIN LOWER PORTION FOR YOUR RECORDS 4--
REV-1604 EX AFP (11-14)
* INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
"
DA -IE• 07-09-2015
ESTATE OF: LAUGHMAN BETTIE J DATE OF DEATH: 03-15=2'014 • COUNTY: CUMBERLAND
FILE NO. : 21 14-0295 S.S/D.C. NO. : ACN: 14124153
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION.
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: . ACNE-._ BANK ACCOUNT-NO. :-189154
TYPE OFt-ACCOUNT: C ). SAVINGS . ( )O :CHECKING ( 0 TRUST C ). TIME CERTIFICATE
DATE ESTABLISHED 08-20-2013'
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 :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
i
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.
REV-1470 EX(01-10)
2114-0295
pennsytvania INHERITANCE TAX
...._._ ..__ RIrMff 'b ftYff b F EXPLANATION 03/15/2014
BMAW��.PYYI L*kiS OF CHANGES
DECEDEN
Bettie J Laughman 2114-0295
REVIEWED BY eEERI"` OF ACN
ORPHARgbipYLPMpnt 191, 14124153
SCHEDULE UMSR LMI D co., R-A
NO. EXPLANATION OF CHANGES
A review has been conducted on this account. The Department has determined that this
joint bank account was properly reported on the probate return. Therefore, this
assessment has been corrected.
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