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INHERITANCE TAX ""'
r ,..,, RECORD ADJUSTMENT pennsylvarna
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BUREAU DF INDIVIDUAL TAXES ~~
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INTLY H~L~
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INHERITANCE TAX DIVISION
PO BOX 280601
'. J t? REV-1604 EX AFP (12-11)
HARRISBURG PA 17126-0601 `-~
'°'~~ ~ ~ ,;~` (~; ' ~ DATE :L2-30-2011
ESTATE OF REESE ROBERT R
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`- DATE OF DEATH 12-03-2010
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C FILE NUMBER 21 11-0694
RFN 4~ti' ~ ;' n ~~ r
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"r COUNTY CUMBERLAND
JOHN W REESE '~~ ~ ~
~' SSN/DC ].14-14-2624
731 ERFORD RD ACN ].1101900
CAMP HILL PA 17011 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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R E V -16 0 4 EX AFP (12 -11)
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** INHERITAN
E TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS e*
DATE• 12-30-2011
ESTATE OF: REESE ', ROBERT R DATE OF DEATH: 12-03-2010 COUNTY:
CUMBERLAND
FILE NO.: 21 11-0694' S.S/D.C. N0.:114-14-2624 ACN
ADJUSTMENT BASED N:
ADMINISTRATIVE : 11101900
CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUI~ION: METRO BANK ACCOUNT N0
.:536308927
TYPE OF ACCOUNT: ( )''SAVIN GS (X) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 07-0~-2003
Account Balance ',
Percent Taxabl 2,944.70 NOTE: TO ENSURE PROPER CREDIT TO YOUR
e X
Amount Subject to Tax''. 0.500
1,472.35 ACCOUNT, SUBMIT THE UPPER PORTION
Debts and Deductions ' -
1,113.84 OF THIS NOTICE WITH YOUR TAX
Taxable Amount
358.51 PAYMENT TO THE REGISTER OF WILLS
Tax Rate ' X
.045 AT THE ADDRESS SHOWN ABOVE.
Tax Due
16.13 MAKE CHECK OR MONEY ORDER PAYABLE
T0: "REGISTER OF WILLS, AGENT
"
TAX CREDITS: .
PAYMENT RECEI T
DATE NUMB R DISCOUNT (+)
06-20-2011 CD0146
4 INTEREST/PEN PAID C-) AMOUNT PALD
1 .00 16.13
TOTAL TAX PAYMENT 16.1
j BALANCE OF TAX DUE 0
INTEREST AND PEN. •0
TOTAL DUE
~ IF PAID AFTER THIS DATE, $EE 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.