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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
,'-'r-r"D"[" 0~'r-'r'E nr-
,-".. ,\ ': :;.! j \ it ;'J,: 1'. INHERITANCE TAX
I. - ~I. --~: '., ~.' ~ RECORD ADJ USTMENT
"JiJOlkn Y HELD OR TRUST ASSETS
*'
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2811601
HARRIS8URG PA 17128-0601
2008 APR -4 PM I: 55
BEVERLY
PO BOX 96
SUMMERDALE
CLERK OF
ORPHJii\fS COURT
BENNelJLlCT . 0,\
PA 17093-0096
REV-1604 EX AFP (03-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
03-26-2008
BENNER
07-07-2007
21 07-0701
CUMBERLAND
174-20-3924
07134320
J
ALMA
V
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 03-26-2008
ESTATE OF BENNER
ALMA
COUNTY
CUMBERLAND
V DATE OF DEATH 07-07-2007
ACN
07134320
ADJUSTMENT BASED ON:
S.S/D.C. NO. 174-20-3924
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FILE NO.
21 07-0701
FINANCIAL INSTITUTION: PSECU
ACCOUNT NO.
0174203924-4
TYPE OF ACCOUNT: () SAVINGS (X) CHECKING () TRUST () TIME CERTIFICATE
DATE ESTABLISHED 04-24-1996
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax DUI!
.00
0.500
.00
.00
.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 (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .nn
* IF P,~ID 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 HAY BE DUE A REFUND. SFF RFVFRSF STnF nF T~T~ ~nPM ~np TN~TPllrTTn~~ ,
~
REV~ 1470 EX (6-881
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box. 280601
HARRISBURG. PA 17128-0601
DECEDENT'S NAME
FILE NUMBER
Alma V. Benner
REVIEWED BY
ACN
2107-0701
07134320
Eunice Baker
ITEM
SCHEDULE NO.
EXPLANATION OF CHANGES
The above account has been adjusted to zero. The account was reported on the probate
return.
ROW
Paqe 1