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INHERI
RECORD TANCE TAX
ADJUSTMENT •
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JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL _
TAXES -~r~''f'~~~~.~' ~' ~~~ ~
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REV-1604 IX AFP (12-09)
INHERITANCE TAX DIVISION
PO BOX 280601 ~
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HARRISBURG PA 17128-0601 ..
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DATE 04-29-2010
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LU~~ MAC -T A~ I I ~ Q7 ESTATE OF RUSS ~ JULIE A
DATE OF DEATH 11-26-2005
1F
CL~K C FILE NUMBER 21 06-0156
,
0~~~~~ v~~,,j~~ COUNTY
SSN/DC CUMBERL ND
027 -16 - 6414
JULIANN R DANIEL~~~-~~~~~,~~ ~~~ . ~?~ ACN 06114164
1463 GOODYEAR RD
Amount Remi ted
GARDNERS PA 17324
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUA E
CARLISLE PA 17013
CUT ALONG THIS LINE _~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
- - - - - - - - - ------------------------------------------------------------ ---------
REV-1604 EX AFP C12-09)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASS TS ~*
DATE: 04-29-2010
ESTATE OF: RUSS JULIE A DATE OF DEATH: 11-26-2005 CO NTY: CUMBERLAND
FILE NO.: 21 06-0156 S.S/D.C. N0.:027-16-6414 CN: 06114164
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO.: 706002046
TYPE OF ACCOUNT: CX) SAVINGS C ) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 10-31-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
.00
X 1.000
.00
_ .00
.00
X .15
.00
NOTE: TO ENSURE PROI
ACCOUNT, SUBM
OF THIS NOTICI
PAYMENT TO TH'
AT THE ADDRES
MAKE CHECK OR
T0: "REGISTEI
ER CREDIT TO YOUR
T THE UPPER PORTION
WITH YOUR TAX
REGISTER OF WILLS
SHOWN ABOVE.
MONEY ORDER PAYABLE
OF WILLS, AGENT."
TOTAL TAX PAYME T .00
BALANCE OF TAX DUE .00
INTEREST AND PE .00
TOTAL DUE .~~
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL UE IS REFLECTED AS A
"CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIO S.
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i A
REV-1470 EX (6-St3)
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~'-~ INHERITANCE TAX
P-.~-, EXPLANATION
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE QF CHANGES
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME Fi E NUMBER
Julie A. Ross 2106-0156
REVIEWED BY A N
Laurel Fulmer 06114164
SCHEDULE ~ INp J EXPLANATION OF CHANGES
The above referenced "ACN" number has been adjusted to zero as it was paid and
reported on the probate return.
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