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HomeMy WebLinkAbout01-08-10INHERITANCE TAX RECORD ADJUSTMENT Pennsylvania ~ BUREAU OF INDIVIDUAL TAXES JOINTLY HELD OR TRUST ASSETS INHERITANCE TAX DIVISION DEPARTMENT OF REVENUE PO BOX 280601 REV-1604 EX AFP C12-09) HARRISBURG PA 17128-0601 ~ !'-`:;:. ' ' ~ ';E ~' _. ,~ , ', , >.._: ~~~0~~;~ _8 P}~ ~: DATE 12-31-2009 O ESTATE OF SCALI SALVATORE DATE OF DEATH 03-03-2008 C~~~+~F, fir FILE NUMBER 21 08-0327 ~ ~^' y'~((~'~ (~ COUNTY CUMBERLAND Vi7~I~~~r,Y ii ~f-'~I T ~ JOHN PEASE 307 !~ A ;..1~1~ i SSN/DC ~~..~fG'~~'';:- r,~: r-~~ i~~-~ ~~ A ERFORD RD CN 08123625 CAMP HILL PA 17011 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS-LINE ~ RETAIN LOWER PORTION FOR YOUR ------------------------- R E C O R D S -------------- ----- R E V- 1 6 0 4 EX AFP C 1 2- 0 9) E.~. ----------- ------------------------------------------------------------------------------- ** INHERITANCE TAX ----------- ------------- RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ** ESTATE OF: SCALI DATE: 12-31-2009 SALVATORE DATE OF DEATH. • 03-03-2008 COUNTY: FILE NO.: 21 08-0327 CUMBERLAND ADJUSTMENT BASED ON S.S/D.C. N0.:168-26-5513 ACN: : 08123625 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.: 2334021421 TYPE OF ACCOUNT: CX) SAVINGS C ) CHECKING C ) TRUST C ) TIME CERTIFICA DATE ESTABLISHED 01-26-1998 TE Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: PAYMENT RECEIPT DATE NUMBER INTERS T%PEN PAID (-) NOTE: TO ENSURE 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 T0: "REGISTER OF WILLS, AGENT." AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE INTEREST AND PEN. •00 TOTAL DUE •00 * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTS "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. D AS A .00 X 0.166 .00 .00 .00 X .15 .00 a~ REV-1470 EX (6-88) Yl _' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME Salvatore Scali REVIEWED BY Eunice Baker SCHEDULE I INO INHERITANCE TAX EXPLANATION OF CHANGES 'FILE NUMBER 2108-0327 ACN 08123625 EXPLANATION OF CHANGES The above account has been adjusted to zero as the account was re o return. p rted on the probate ROW Page 1