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BUREAU OF INDIVIDUAL TARES
U.tERITAHC[ TAX DIVISION
DEPT. I8I'U
IlARRlSIURG, PA 11ua-0601
CDHHDNWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
PENNSYLVANIA ESTATE TAX
RECORD ADJUSTMENT
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DATE
ESTATE DF
DATE DF DEATH
FILE NUMBER
COUNTY
ACN
04-22-1999
HERENDEEN
10-01-1995
21 95-0777
CUMBERLAND
2Dl
A.aunt R..ltt.d
JAHES
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LARRY A HARTMAN
DAUPHIN DEPDS1J BK B TR
213 MARKET STCl.;"
HBG PA 17101
MAKE CHECK PAYABLE AND REHIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO CDURT HOUSE
CARLISLE. PA 17013
HOTEl To insure proper credit to your eccount, sub.it the upper portion of this fora with your tax p.y..nt.
CUT ALONG THIS LINE ~ RETAIN LOWER PDRTIDN FDR YDUR FILES ~
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ESTATE OF HERENDEEN
JAMES
H FILE ND.21 95-0777
ACN 2Dl
CODE
DATE 04-22-1999
706
ADJUSTMENT BASED ON: ADMINISTRATIVE CDRRECTION
1.
Credit For Stete Death Taxes as Verified
26,155.16
2.
Pennsylvanie Inheritance Tax Assessed
(Excluding Discount and/or Interest)
36,077.55
3.
Inheritenca Tax Assassed by Other States
or Territories of the United States
(Excluding Discount and/or Interest)
.00
4.
Totel Inheritence Tax Assessed
5.
Pennsylvanie Estate Tex Due
6.
Amount of Pennsylvania Estete Tax Previously Assessed
Based on Federal Estate Tax Return
7.
Additional Pennsylvania Estate Tax Due
TAX CREDITS:
PAYMENT
DATE
DISCOUNT (+)
INTEREST/PEN PAID (-)
RECEIPT
NUMBER
AMOUNT PAID
. IF PAID AFTER THIS DATE. SEE REVERSE SIDE (
FDR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS LESS THAN '1. NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI. YOU HAY
BE DUE A REFUND. SEE REVERSE SIDE DF THIS FORH FOR INSTRUCTIONS. I
H
.00
.00