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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
. I}I~~ITANCE TAX
. .R~CPJ!ffj ADJUSTMENT
JO,INTlY Hi;ti.DOR TRUST ASSETS
-
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
200] FEB I 2 Pii
C:LE~~~<
OFiPl'-l/\\j'::,~:
R NOTARFRANCESc@.J\if' i
JOSEPH
12 BURD RD
MIDDLETOWN
PA 17057
REV-1604 EX AFP (03-05)
I: 2~~~TE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
02-01-2007
NOTARFRANCESCO
10-21-2006
21 07-0027
CUMBERLAND
072-22-6681
06158536
ANTHONY
J
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE
--+ RETAIN LOWER PORTION FOR YOUR RECORDS
+-
--..-......-..-......-......-..........-..........-..-..-..-..........-.-...-..-......-..-......-..--..-..-.-.-..-..-.....-
REV-1604 EX AFP (03-05)
__ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS --
DATE 02-01-2007
ESTATE OF NOTARFRANCESCO ANTHONY
COUNTY
CUMBERLAND
J DATE OF DEATH 10-21-2006
ACN
06158536
FILE NO. 21 07-0027
ADJUSTMENT BASED ON:
S.S/D.C. NO. 072-22-6681
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET.lriFORMATION
FINANCIAL INSTITUTION: OMEGA BANK
ACCOUNT NO.
2030012')6
TYPE OF ACCOUNT: (X) SAVINGS () CHECKING () TRUST () TIME CERTIFICATE
DATE ESTABLISHED 06-15-1998
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
667.31
0.500
333.66
333.66
.00
.45
.00
TAX CREDITS:
NOTE: TO INSURE PROPER CREDIT TO YOUR
ACCOUNT, SUBMIT THE UPPER PORTION
OF THIS NOTICE WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS
AT THE ADDRESS SHOWN ABOVE.
MAKE CHECK OR MONEY ORDER PAYABLE
TO: "REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-08-2007 CD007671 .00 15.00
TOTAL TAX CREDIT 15.00
BALANCE OF TAX DUE 15.00CR
INTEREST AND PEN. .00
TOTAL DUE 1" nn,..~
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
_u u __ _..~ . """""..n <:1010 IilI"VI"RSE SIDE OF THIS FORM FOR INSTRUCTIONS.) <:::;
\
REV-1470 EX 1&-881
'*
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENrS NAME
FILE NUMBER
Anthony J Notarfrancesco
ACN
2107-0027
06158536
REVIEWED BY
Department of Revenue I Teresa Seiders
ITEM
SCHEDULE NO.
EXPLANATION OF CHANGES
Debts and deductions you submitted have been approved and applied against the
aforementioned account control number. The adjustment leaves zero tax due.
ROW
Paqe 1