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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
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HARRISeuRC PA 17128-0601
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DEPARTMENT OF REVENUE
REV-1604 EX AFP C12-09)
DATE 06-23-2010
ESTATE OF HOSTETTER BETTY J
DATE OF DEATH 12-12-2008
FILE NUMBER 21 09-0017
COUNTY CUMBERLAND
SSN/DC 191-24-1301
ACN 09122480
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MAKE CHECK PAYAHIE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
~~~~ ~~
QRPNAAI~'S C~~RT
CU~~~ =~~.~~~~~~ r~., PA
CYNTHIA L MERCURI
26 SADDLEBROOK RD
PHOENIXVILLE PA 19460
CUT ALONG THIS LIME ~- RETAIN LOWER PORTION FOR YOUR. RECORDS ~'
REV-1604 EX AFP C32-Q9)
** INIiERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
= 06-23-2010
ESTATE OF: HOSTETTER BETTY J BATE OF DEATH: 12-12-2008 COUNTY: CUMBERLAND
JOINT OR TRUST ASSET INFORM#'~'20N
FINANCIAL I NST I TUT I ON : COMMERCE BANK HARRISBURG NA ACCOUNT NO .: 51 ~„2Q5112
FILE NC1.: 21 09-0017. S.S/D.C. N0.:191-24-13x1 ACN: 09122480
ADJ'US ENT AS' D ON: ADMINISTRATIVE CORRECTION
TYPE OF ACCOUNT: C ) SAVINGS C ~ CHECKING C ? TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 06-03-2000
Account Balance
P®rcent Taxable
Awaount Subject to Tax
.Debts and Deductfons
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
INHERITANCE TAX
.-,fr~,,•trjr., ~. D AI?,1U$TMENT
~-~~{_;;__,--~~~-,~~~~~LD OR TRUST ASSETS
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1 iL' ~lLJ t ~] L. t tilt}! ,..~
~~IO JtJI. -6 PN 2~ ~~
.00
X 0.500
.00
.00
.00
X_ .045 ,
.00
NOTE: TO ENSURE PROPER CREDIT TO YOUR
ACCOUNT, SUBMIT THE UPPER PORTION
OF THIS NOTICE WITH YOUR TALC
PAYMENT TO THE REGISTER OF WILLS
AT THE A'DDRE9iIS SHOWN ABOVE .
MAKE CHECK OR MONEY ORDER PAYABLE
T0: "REGISTER OF WILLS, AGENT,"
P DATENT RNUMBER INTEREST%PEN PA D C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DU
INTEREST AMID PEN.
TOTAL DUE
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFIECfiED AS A
"CREDIT" CCR), YOU MAY HE DUE A REFUND. SEE REVERSE SIDE OF THIS PORN FOR INSTRUCTIONS.
REV•147~EX (5.89)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUIlF.AU OF fNDiViDUAt. TAXES
PO Box 280801
INHERiTAhlCE TAX
EXPLANATION
of cHAN~Es
______._. _._...._ BETTY J HC?3TETTER 2108-00'~?
REVrEWEO eY Judy Vlilatts ACN 0812248Q
SCHEDULE ~ pM EXPLANATIQN OF CHANGES
The above ACN has been zeroed out leaving a zero lance dom. Thia account has n
reported end paid on the Inheritance tax return.
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