REV-714 - Register of Wills Monthly Report
PENNSYLVANIA INHERITANCE TAX
(1) LIEN FILING FEES (NO COMMISSION) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(2) CITATION FILING FEES (NO COMMISSION) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(3) NONRESIDENT INHERITANCE TAXES (NO COMMISSION) . . . . . . . . . . . . . . . . . . . . .
(4) TOTAL MISCELLANEOUS COLLECTIONS (ADD LINES 1 THRU 3) . . . . . . . . . . . . . . . . .
(5) RESIDENT INHERITANCE TAXES (COMMISSION ALLOWED) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(6) TOTAL COLLECTIONS (ADD LINES 4 AND 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(7) CREDIT MEMORANDA/CREDIT CORRESPONDENCE (ATTACH COPIES) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BALANCE DUE
PRIOR REPORT FOR
(8) REGISTER OF WILLS (Subtract) . . . . . . . . . . . . . . . . . . .
(MONTH)
(9) COMMONWEALTH (Add) . . . . . . . . . . . . . . . . . . .
BALANCE DUE AUDIT
FROM
(10) REGISTER OF WILLS (Subtract) . . . . . . . . . . . . . . . . . . .
TO
(11) COMMONWEALTH (Add) . . . . . . . . . . . . . . . . . . .
(12) TOTAL AMOUNT DEPOSITED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CERTIFICATION
I certify that the information contained in this report is true and correct.
(REGISTER OF WILLS SIGNATURE)
DO NOT WRITE BELOW THIS LINE
OFFICIAL SETTLEMENT
TOTAL MISCELLANEOUS COLLECTIONS (NO COMMISSION) . . . . . . . . . . . . . . . . . . . . .
RESIDENT INHERITANCE TAXES (COMMISSION ALLOWED) . . . . . . . . . . . . . . . . . . . . .
TOTAL COLLECTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CREDIT MEMORANDA/CREDIT CORRESPONDENCE . . . . . . . . . . . . . . . . . . . . . . . . . . .
BALANCE DUE OR CREDIT
FOR MONTH OF . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
AUDIT SETTLEMENT
FROM TO . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
AMOUNT DUE COMMONWEALTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TOTAL DEPOSITS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BALANCE DUE: ( ) REGISTER OF WILLS . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
( ) COMMONWEALTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
COMMISSION DUE THIS MONTH
COMMISSION ADJUSTMENT(S)
FOR MONTH OF
COMMISSION PAID
DEPARTMENT OF REVENUE OFFICE OF THE AUDITOR GENERAL
SETTLED AND DELIVERED AUDITED AND APPROVED
FOR: SECRETARY OF REVENUE FOR: AUDITOR GENERAL
COUNTY NO.
MONTH YEAR
NAME
REGISTER OF WILLS
MONTHLY REPORT
Date Received Postmark Date
(-)
(-)
+
(-)
+
REV-714 (11-14)
BUREAU OF IMAGING AND
DOCUMENT MANAGEMENT
PO BOX 280400
HARRISBURG, PA 17128-0400
SUBJECT TO FINAL AUDIT SUBJECT TO FINAL AUDIT
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