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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
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BETTE J ZOOK
24 GUNPOWDER RD
MECHANICSBURG PA 17050
INHERITANCE TAX
RECORD ADJUSTMENT
'~ ~ - aBI~NTLY HELD OR TRUST ASSETS
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Pennsylvania ~
DEPAI~TMENT OF REVENUE
REV-1604 EX AFP (12-09)
DATE 08-19-2010
ESTATE OF DAWSON HARRY H
DATE OF DEATH 03-31-2010
FILE NUMBER 21 10-0585
COUNTY CUMBERLAND
SSN/DC 218-24-9821
ACN 10131271
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
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CUT ALONG THIS LINE --- RETAIN LOWER PORTION FOR YOUR RECORDS F~
REV-1604 EX AFP C12-09)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 08-19-2010
ESTATE OF: DAWSON HARRY H DATE OF DEATH: 03-31-2010 COUNTY': CUMBERLAND
FILE NO.: 21 10-0585 S.S/D.C. N0.:218-24-9821 ACN: 10131271
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: M ~ T BANK ACCOUNT N0.:2'7623858
TYPE OF ACCOUNT: C ) SAVINGS CX) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 05-24-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
X 0.166
.00
_ .00
.00
X .045
.00
NOTE: TO ENSURE PROPER CREDIT TO YOUR
ACCOUNT, SUBMIT THE UPPER PORTION
OF THIS NOTICE W][TH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS
AT THE ADDRESS SHOWN ABOVE.
MAKE CHECK OR MOWEY ORDER PAYABLE
T0: "REGISTER OF= WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
06-11-2010 CD012910 .00 52.20
08-Ob-2010 REFUND .00 2.61-
TOTAL TAX PAYMENT 49.59
BALANCE OF TAX DUE 49.59CR
INTEREST AND PEN. .00
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE I:> REFLECTED AS A
"CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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REV-1470 EX (6-88)
INHERITANCE TAX
COMMONWEALTH OF PENNSYLVANIA EXPLANATION
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME HARRY H DAWSON FILE NUMBER
2110-0585
REVIEWED BY ACN
Judy Watts 10131271
ITEM
SCHEDULE Np. EXPLANATION OF CHANGES
The above ACN has been zeroed out leaving a zero balance due. This account has been
reported and paid on the inheritance tax return. You will receive your refund in 4-6 weeks.
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