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INHERITANCE TAX
RECORD ADJUSTMENT
_JOI~IT~ ,k{ELD OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES ;SC 1Y i ~'L;~ Ur
INHERITANCE TAX DIVISION -.- ;~,~ `~
PO BOX 280601 j1_.._. _ _.~ , „, ~.. _.~~-)
HARRISBURG PA 17128-0601
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CLERK CF
O~PHWV`S CCJ~
RUTH B COLLINS C~)I~i~i~~~ ~`~:~~` (;~)., PA.
207 S ORANGE STREET
CARLISLE PA 17013
Pennsylvania -~
DEPARTMENT OF REVENUE
REV-1604 EX AFP (12-10)
DATE 03-10-2011
ESTATE OF BARYON LEIA T
DATE OF DEATH 03-27-2010
FILE NUMBER 21 10-0528
COUNTY CUMBERLAND
SSN/DC 407-64-9617
ACN 10120398
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 f-
REV-1604 EX AFP f12-10)
~* INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 03-10-2011
ESTATE OF: BARYON LEIA T DATE OF DEATH: 03-27-2010 COUNTY: CUMBERLAND
FILE NO.: 21 10-0528 S.S/D.C. N0.:407-64-9617 ACN: 10120398
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 22325-05
TYPE OF ACCOUNT: fX) SAVINGS C ) CHECKING f ) TRUST f ) TIME CERTIFICATE
DATE ESTABLISHED 10-15-2002
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
X 1.000
.00
.00
.00
X .045
.00
NOTE: TO ENSURE PROPER CREDIT TO 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 (-) AMDUNT 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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
~'
REV-1470 EX (e 88)
'~ z INHERITANCE TAX
>>,
n" -'"'" 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
BARYON LEIA T 2110-05281
REVIEWED BY ACN
Elizabeth A. Bloom 10120398
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
Above-referenced ACN(s) are being adjusted to reflect zero tax due since they have been
reported on the probate return.
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