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CONMONWEAtTH OF PENNSYLVANIA
DEPARTME,~tT OF REVENUE
~: -'~~~~~" ^ ~~ ~ , TANCE TAX
BUREAU OF INDIVIDUAL TAXES t'- ~'~ `~"'~
INFIEitITANCE TAX DIVISION ~ ^~:~."' ~~ w ADJUSTMENT
Po soot 2se6s1 ~`~~8'~~'L~ ~ OR TRUST ASSETS
lIARRISOURC PA 17120-0601 RE1l-1504 EX ASP t01-09)
~~~,~,}~„ -~ AMIi~ ~~ATE o6-11-2009
ESTATE OF HESSE ADELINE L
DATE OF DEATH 12-25-2007
~~ ~ ~ ,.FILE NUMBER 21 08-0454
~~~,~~~' ~ COUNTY CUMBERLAND
. ~ .~ ~' SSN/DC 099 -14 - 0289
NYRNA HILL ACN 08129231
PO BOX 667
Awount ROwittOd
LEWISBUR6 WV 24701 ~ ~:~$
MAKE CHECK PAYABLE AND REMIT PAYMENT TOs
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~- RETAIN LOiitER PORTION FOR YOUR RECORDS ~-
REV-1604 EX AFP C®1-09)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ea
DATE 06-11-2009
ESTATE OF HESSE ADELINE L DATE OF DEATH 12-25-2007 COUNTY CUMBERLAND
FILE NO. 21 08-0454 S.S/D.C. NO. 099-14-0289
ACN 08129231
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTIOiI
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: BANK OF AMERICA ACCOUNT N0. 1521960919
TYPE OF ACCOUNT: C ) SAVINGS tX) CHECKING t ) TRUST t ) TIME CERTIFICATE
DATE ESTABLISHED 05-02-1990
.~ __.__._ _____.-_~.._ 59,882.41-----^--
A.A83
X` ._._.
4,990.00
_ _ .00.
4,990.00
X~ . 45
224.55
MOTE: TO INlORE PROPER CR®IT TO YOUR
ACCOUNT, !MITT T11E f1PPER PORTION
OF THIS NOTICE IiflTq YOUR TAX
PAYMENT TO THE REGISTER Ole WILLS
AT THE ADDRESS SHOWN A$OVE.
MAKE CHECK OR MONEY ORDER PAYABLE
TO: "REGISTER OF MILLS, AGENT."
Account Balsnce
Percent Taxable
Asiount Sub3ect to Tax
Debts and Deductions
Taxable /mount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 06-26.2009 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE DF TAX DUE 224.55
REVERSE SIDE OF THIS FDRM INTEREST AND PEN. 9.63
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
C IF TOTAL DUE IS LESS THAN 01, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INST'4L~C~'?^-"~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 01 1443
HILL MYRNA
PO BOX 667
LEWISBURG, WV 24701
fold
ESTATE INFORMATION: SSN: 099-14-0289
FILE NUMBER: 2108-0454
DECEDENT NAME: HESSE ADELINE LORETTA
DATE OF PAYMENT: 07/06/2009
POSTMARK DATE: 07/01 /2009
COUNTY: CUMBERLAND
DATE OF DEATH: 1 2/25/2007
REMARKS:
CHECK# 1019
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
08129231 ~ 5234.18
TOTAL AMOUNT PAID: 5234.18
INITIALS: JN
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS