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INHERITANCE TAX
..; ~-a -RECORD ADJUSTMENT
BUREAU OF INDIVIDUAL TAXES -_ ~f ~rr~~~1~TkY HELD OR TRUST ASSETS
INHERITANCE TAX DIVISION . ~ ~~r , i•;
PO BOX 280601 "~i°~. - ~ `-: ' "
HARRISBURG PA 17128-0601 ..
2110 ..i~ - 8 P~ ~ ~ ~'~
aPP~-~,~~~~ ` ~ ~~ J'~~1R i
ANDREW J PEAS~~'~ ~n~ ! r",', ~ i;,'-~ , t~J'~,
307 ERFORD RD
CAMP HILL PA 17011
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1604 EX AFP C12-09)
DATE 12-31-2009
ESTATE OF SCALI
DATE OF DEATH 03-03-2008 SALVATORE
FILE NUMBER 21 08-0327
COUNTY CUMBERLAND
SSN/DC
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE y RETAIN
"-"--°-------------- L O WE R PORTION FOR YOU R
-------------------------------------------- RECORDS E..~
REV -16 0 4 ~ Y ~ ~ e . , .. _ _ _ _______________
-------------- _______________
------------------------- ____________________
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST .
ASSETS **
ESTATE OF: DATE: 12-31-2009
SCALI SALVATORE DATE OF DEATH:
03-03-2008 COUNTY:
FILE NO.: 21 08-0327 CUMBERLAND
ADJUSTMENT BASED ON: S•s/D.c. No' :168-26-5513
ADMINISTRATIVE CORRECTION ACN: 08123626
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK
ACCOUNT NO.: 2334021421
TYPE OF ACCOUNT: CX) SAVINGS C ) CHECKING C ) TRUST
DATE ESTABLISHED 01-26-1998 ~ ~ TIME CERTIFICATE
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
.00 NOTE:
X 0.166
.00
- .00
.00
X .15
.00
INTERE3T~PEN PAID C-)
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
BALANCE OF TAX DUE .0
INTEREST AND PEN. .0
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTERE OT AL DUE ~~
"CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR
. IF TOTAL DUE IS REFLECTED AS A
INSTRUCTIONS.
r
REV-1470 EX (6-88)
~.
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
08123626
EXPLANATION OF CHANGES
The above account has been adjusted to zero as the account was re
return. ported on the probate
ROW
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