HomeMy WebLinkAbout07-20-15 (2) INHERITANCE TAX
RECORD ADJUSTMENT pennsytvarna
BUREA4 OF INDIVIDUAL TAXES
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
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INHERITANCE TAX DIVISIOI�F1En� nEn llf ICE O REV-1604 EX AFP (11-14)
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HARRISBURG PA 17128-0601 REGISTER OF WILLS
I DATE 07-09-2015
ESTALAGHAN
?012rr J JAIL 20 pJ m( 12 9'O DATETOFODEATH 03-15-2014 BETTIE J
FILE NUMBER 21 14-0295
CLERK OFCOUNTY CUMBERLAND
JOSEPH Lnpppp
+'cy AUaN C OU T'i j SSN/DC
ACN 14124154
1146 NEW M� 2O( /�( f� C,-, i Amount Remitted
CARLISLE PA 17013-1739
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 E-
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REV-1604 EX AFP (11-14)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 07-09-2015
ESTATE OF: LAUGHMAN BETTIE J DATE OF DEATH: 03-15-2014 COUNTY: CUMBERLAND
FILE NO. : 21 14-0295 S.S/D.C. NO. : ACN: 14124154
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ACNB BANK ACCOUNT NO. : 189154
TYPE OF ACCOUNT: C ) SAVINGS ( X) CHECKING C ) TRUST ( ) 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+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT 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.
REV-1470 EX(01.10)
2114-0295
penn$ytvania INHERITANCE TAX
S' 03/15/2014
DEPART�1Ef�T�QFDyELV ,CE F EXPLANATION
BUREAU ORE181It-,fEI:rA,)@!' WILLS OF CHANGES
DECEDENT'S NAM
Bettie J Laughman 2114-0295
REVIEWED BYI �t f l J t 1 ACN 14124154
SCHEDULE INO C MQERLA'a t, ., F''a 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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