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INHERITANCE TAX Pennsylvania ~ ~~~
RECORD ADJUSTMENT
-,14•I~L.TLY HELD 0R TRUST ASSETS DEPARTMENT OF REVENUE
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BUREAU OF INDIVIDUAL TAXES ~~ ' :'. ~~t~
REV-1604 EX AFP (a2-09)
INHERITANCE TAX DIVISION -
PO BOX 280601 - ~ , , ~.~
,_,. `:
HARRISBURG PA 17128-0601 •
~~~~ ~G`~ ~``~ Fs~'~' ~~ ESTATE OF SUTA2-2010 STEL_LA
DATE OF DEATH 07-16-2009
C~~~ ;~ ~"`~ FILE NUMBER 21 09-0942
O' ~ ~; ~~ ,~ ~~,- COUNTY CUMBERLAND
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~~~ ~~~'~ `t` ~ ~ ~' ~ SSN/DC 14 6 - 28 - 5417
JACOB A SUTA C~~~^~~ .~`~,;~`~;- •~'~ ~J;;
-~ . 3 ~ a ACN 09150245
41 SHADY RD
Amount Remitted
NEWBURG PA 17240-9394
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 ~
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REY-1604 EX AFP C12-09~
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 08-02-2010
ESTATE OF: SUTA STELLA DATE OF DEATH: 07-16-2009 COUNTY: CUMBERLAND
FILE NO.: 21 09-0942 S.S/D.C. N0.:146-28-5417 ACN: 09150245
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: FARMERS 8~ MERCHANTS TRUST CO ACCOUNT NO.: 35-32275
TYPE OF ACCOUNT: ( ) SAVINGS (X) CHECKING ( ) TRUST ( ~ TIME CERTIFICATE
DATE ESTABLISHED Ob-29-2007
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 .15
.00
NOTE: TO ENSURE PROPER CREDIT T'0 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."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
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 A:'> A
"CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
~~
i
INHERITANCE TAX pennsylvan~a ~
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES REV-1604 EX AFP C12-09)
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 08-02-2010
ESTATE OF SUTA STELLA
DATE OF DEATH 07-16-2009
FILE NUMBER 21 09-0942
COUNTY CUMBERLAND
SSN/DC 146-28-5417
JACOB A SUTA ACN 09150246
41 SHADY RD
Amount Remitted
NEWBURG PA 17240-9394
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 ~
REV-1604 EX AFP C12-09~
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE• 08-02-2010
ESTATE OF: SUTA STELLA DATE OF DEATH: 07-16-2009 COUNTY: CUMBERLAND
FILE NO.: 21 09-0942 S.S/D.C. N0.:146-28-5417 ACN: 09150246
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL I NST I TUT I ON : FARMERS >~ MERCHANTS TRUST CO ACCOUNT NO . : 71 - 33510
TYPE OF ACCOUNT: tX) SAVINGS ( ) CHECKING ( ) TRUST { ~ TIME CERTIFICATE
DATE ESTABLISHED 08-09-2007
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 .15
.00
NOTE: TO ENSURE PROPER CREDIT T'0 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."
PAYMENT
DATE RECEIPT
NUMBER DISCDUNT (+)
INTEREST/PEN PAID C-) 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.
~~
~ r
REV-1470 EX (6-88)
INHERITANCE TAX
EXPLANATION
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME FILE NUMBER
STELLA SUTA 2109-0942
REVIEWED BY
ACN
Judy Watts 09150245 & 09150246
ITEM
SCHEDULE Np, EXPLANATION OF CHANGES
The above ACN's have been zeroed out leaving a zero balance due. These accounts have
been reported and paid on the Inheritance tax return.
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