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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
INHERITANCE TAX
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
;)J-O I-V A"
REV-l'04 EX AFP <12-00l
LEANDRA J PRIETO
C/O JULIANNA NILSSON
7 GARDEN PLACE APT 5
SPRING LAKE HEIG NJ 07762-0000.
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
04-18-2001
NILSSON
08-17-1999
KARL
R
CUMBERLAND
152-12-5643
99160634
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 (12-00)
__ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS --
DATE 04-18-2001
ESTATE OF NILSSON
KARL
R DATE OF DEATH 08-17-1999
COUNTY
CUMBERLAND
FILE NO.
ADJUSTMENT BASED ON:
S.S/D.C. NO. 152-12-5643
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
ACN
99160634
FINANCIAL INSTITUTION: KEYSTONE FINANCIAL BANK NA
ACCOUNT NO.
6400109198
TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE
DATE ESTABLISHED 02-08-1995
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
1,350.28
0.500
675.14
.00
675.14
.06
40.51
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."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 05-03-2001 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 40.51
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 3.25
TOTAL DUE 43 76
* 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),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
-,
.
REV-147) EX (6-88)
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME
NILSSON, KARL R
FILE NUMBER
Bryan Rondon
ACN
700275128
99160634
REVIEWED BY
SCHEDULE
ITEM
NO.
EXPLANATION OF CHANGES
Tax rate changed to 60/0 since joint tenant was the granddaughter of the decedent.
ROW
Paqe 1
I ~~dJ, 7-1
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
c;i
(./"
REV-I'D? EX AFP <12-00)
LEANDRA J PRIETO
C/O JULIANNA NILSSON
7 GARDEN PLACE APT 5 ,
SPRING LAKE HEIG NJ 07762
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
06-04-2001
NILSSON
08-17-1999
21 01-0426
CUMBERLAND
99160634
KARL
R
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
RE-V: i(>>(fj-Ex-iFP-Cl."2:ol.-r------...--XNHERITANcE"-YAX-STAfEHE-tiY-cfF'-AC-couiif--.-i.--------------- -- -- --
ESTATE OF NILSSON
KARL
R FILE NO.21 01-0426
ACN 99160634 DATE 06-04-2001
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-17-2001
P R I NC I PAL TAX DUE: ........._................................................................................................................................................................................................................
40.51
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-01-2001 AA496549 3.23- 43.76
TOTAL TAX CREDIT 40.53
BALANCE OF TAX DUE .02CR
INTEREST AND PEN. .00
* IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .02CR
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRl,
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. l
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