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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHE~~T~"CE TAX
RECORDfiEeo~~DOUSTMENT
REQJ.~~~~~C~~~)FORM ASSETS
DATE
'5 ....".33 ESTATE OF
2000 DEe HI"l' DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BDr. ~0601 '
HARRISBURG, PA 17128-0601
CARL T ANOKA
POBOX 852
MECHANICSBURG
CLERK OF
ORPH^i'1'(' ('0\ iRT
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PA 17055-0000
REY-1U4A EX AFP 111-041
12-06-2006
ANOKA
07-18-2005
21 05-0722
CUMBERLAND
171-24-5745
05500663
Allount Rellitted
RUTH A
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-1604A EX AFP (01-03)
__ INHERITANCE TAX RECORD ADJUSTMENT BENEFICIARY FORM ASSETS --
DATE 12-06-2006
ESTATE OF ANOKA
RUTH
COUNTY
CUMBERLAND
A DATE OF DEATH 07-18-2005
ACN
05500663
FILE NO. 21 05-0722
ADJUSTMENT BASED ON:
S.S/D.C. NO. 177-24-5745
ADMINISTRATIVE CORRECTION
BENEFICIARY FORM ASSETS
NAME OF SECURITY:
PPL
TYPE OF ACCOUNT:
(X) SECURITIES () SEC ACCT
DOD Valuation
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
.00
0.500
.00
.00
.00
.45
.00
TAX CREDITS:
ACCOUNT NO. 309902189
( ) STOCK
( ) BOND
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 (-)
TOTAL TAX CREDIT .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 LESS THAN $I. NO PAYI1ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR).
vnll OlAV RC nllc .. D~~IINn. SI"I" RI"VI"RSE SIDE OF THIS FORI1 FOR INSTRUCTIONS.)
q
REV.1470 EX (6-88)
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENTS NAME
FILE NUMBER
REVIEWED BY
ACN
2105-0722
05500663
RUTH A ANOKA
Judy Watts
ITEM
SCHEDULE NO.
EXPLANATION OF CHANGES
Above ACN has been zeroed out since it was already reported on the Inheritance Tax
return.
ROW
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