HomeMy WebLinkAbout08-12-15 (2) INHERITANCE TAX
RECORD ADJUSTMENT Pennsylvania
BUREAU OF INDIVIDUAL TAXES
JOINTLY HELD OR TRUST ASSETS 7 DEPARTMENT OF REVENUE
____
INHERITANCE TAX DIVISION REV-1604 EX AFP (11-14)
BOX
HARRISBURGURG PPA 17128-0
BFCORDED OFFICE OF
HAA
REGIS7-R OF V I1 L.S DATE 07-29-2015
ESTATE OF MORRISSEY LINDA K
7015 AUG 12 fill 11 20 DATE OF DEATH 08-13-2013
FILE NUMBER 21 13-1028
CLERK OF COUNTY CUMBERLAND
SSN/DC
634 ALL
TAMMY ORPT�` 'FS, i G 1'I ACN 13146162
�((� _
MECHANIC OR
t'PAR 170554181 Amount Remitted
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--
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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: 13146162
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION : SUSQUEHANNA BANK ACCOUNT NO . : 154060219
TYPE OF ACCOUNT: ( ) SAVINGS ( X) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 04-12-2011
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 • 15 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due •00 TO: "REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
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.
s
REV-1470 EX(01-10)
. p penn$ytvanla INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601
HARRISBURG. 1 1 -0 1
DECEDENT'S NAME FILE NUMBER
Linda K. Morrissey 2113-1028
REVIEWED BY ACN
Department of Revenue 13146162, 14121639
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
The above ACNs have been adjusted to zero as they were reported on the probate return.
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