HomeMy WebLinkAbout08-12-15 INHERITANCE TAX
RECORD ADJUSTMENT � '�` pennSytvarna
ry
BUREAU`'OFINDIVIDUAL TAXES JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
INHERITANCE
QQTAX
{{��DIVISION C ` REV-1604 EX AFP (11-14)
PO HARRIOSB FAq17128-Bb0 0 r t L OF
REGIS TNEP,P, Or VflLLS
��++ {p DATE 07-29-2015
HISjJ1C {JU 12 Fini CQ DATEESTATOFODEATH 08RRISSEY 13-2013 LINDA K
FILE NUMBER 21 13-1028
C L El, , ( F COUNTY CUMBERLAND
10" SSN/DC
c ""�L
���„'�' ("SDR TAFF ACN 14121640
[APLSNV-i EW 6 Amount Remitted
MECHANICSBURG PA 17055-6181
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 4--
------------------------------------------------------------------------------------------------------------------------------------------------------------------
REV-1604 EX AFP (11-14)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 07-29-2015
ESTATE OF: MORRISSEY LINDA K DATE OF DEATH: 08-13-2013 COUNTY: CUMBERLAND
FILE NO. : 21 13-1028 S.S/D.C. NO. : ACN: 14121640
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO. : 5112782409
TYPE OF ACCOUNT: ( X) SAVINGS C ) CHECKING ( ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 10-20-2011
Account Balance •00 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 1 .000 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 .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-)
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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
V\
REV-1470 EX(01.10)
E lvania
penns Y INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601
HA PA 17128-0601
DECEDENTS NAME FILE NUMBER
Linda K. Morrissey 2113-1028
REVIEWED BY ACN
Department of Revenue 14121640
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
The above ACNs have been adjusted to zero as they were reported on the probate return.
Page 1