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BUREAU OF INDIVIDUAL TAXES ._,
INHERITANCE TAX DIVISION -
P(l BOX 280601
HARRISBURG PA 17128-06D1
INHERITANCE TAX
- RECORD ADJUSTMENT
,JfD,,~NTLY HELD OR TRUST ASSETS
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CLERK ~~=
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WILLIAM R DENARY
134 HORNERS RD
CARLISLE PA 17015
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DEPARTMENT OF REVENUE
REV-1604 EX AFP C1;?-09) ~ ~~~
DATE 07-29-2010
ESTATE OF DENARY EMMA R
DATE OF DEATH 10-29-2009
FILE NUMBER 21 10-0219
COUNTY CUMBERLAND
SSN/DC 299-36-7258
ACN 10112561
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS E-^
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REV-1604 EX AFP C12-09~
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 07-29-201G
ESTATE OF: DENARY EMMA R DATE OF DEATH: 10-29-2009 COUNTY: CUMBERLAND
FILE NO.: 21 10-0219 S.S/D.C. N0.:299-36-7258
ACN: 10112561
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT N0.: 2894076630
TYPE OF ACCOUNT: CX) SAVINGS C ~ CHECKING C ) TRUST C ~ TIME CERTIFICATE
DATE ESTABLISHED 08-10-2009
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.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 T'AX
PAYMENT TO THE REGISTER OF WILLS
AT THE ADDRESS SHOWN ABOVE..
MAKE CHECK OR MONEY ORDER PAYABLE
T0: "REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCDUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A
"CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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REV-1470 EX (01-10)
~ pet~ll'~$~/~VC~1'~1a INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601
HARRI B R PA 17128-0601
DECEDENT'S NAME FILE NUMBER
Emma R. DeHart 2110-0219
REVIEWED BY ACN
Joan M. Peters 10112561
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
The above referenced Account Control Number has been adjusted to zero since the joint
bank account was listed on the Inheritance Tax Return.
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