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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PD BO% 280601
HARRIS BURG PA 1]128-0601
LEONARD W TRITT
7 IRONSTONE DR CLERK Or
CARLISLE PA 17015-970CsRPHANS' CDURT-
CUMBERLAND GO., PA
INHERITANCE TAX
RECORD ADJUSTMENT
BENEFICIARY FORM ASSETS
REGOt;D::G' Q~~1GE Of
REGISTcR OF 1'.'1LLS
%~Y3 FEB 19 fi~`I i~ 32
~ Pennsylvania
DEPARTMENT OF REVENUE
REV -1604A EX AFP (12-12)
DATE 02-06-2013
ESTATE OF TRITT WILLIAM W
DATE OF DEATH OB-29-2011
FILE NUMBER 21 11-0950
CDUNTY CUMBERLAND
SSN/DC
acN llsD2zzb
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT 70:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
GU7 ALONG THIS LINE '~'1 RETAIN LOWER PORTION FOR YDUR RECORDS !~-
REV-1604A EX AFP I12-12]
e* INHERITANCE TAX RECORD ADJUSTMENT BENEFICIARY FORM ASSETS ax
DATE: 02-06-2013
ESTATE OF: TRITT WILLIAM W DATE OF DEATH: 08-29-2011 COUNTY: CUMBERLAND
FILE N0.:21 11-0950 S.S/D.C. NO.: 184-12-2064 ACN: 1150222b
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
BENEFICIARY FORM ASSETS
NAME OF SECURITY: AMERIPRISE
TYPE OF ACCOUNT: C ) SECURITIES (JQ SEC ACCT ( ) STOCK
DOD Valuation
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Due
Tax Rate
TAX CREDITS:
.00 NOTE:
X 0.333
.00
.00
X .045
ACCOUNT N0.:12405030
( ) BOND
TO ENSURE PROPER CREDIT TO YDUR
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
GATE RECEIPT
NUMBER DISCOUNT (+3
INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX PAYNENT
BALANCE OF TAX DUE
INTEREST AND PEN. .00
TOTAL DUE .00
x 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
~ aev-Ulo Ex 10~-~Ol
2111-0950
1 ~?@11t1SylVanla INHERITANCE TAX 184-12-2064
DEPARTMENT OF REVENUE EXPLANATION 08!2912011
BUREAU OF INDIVIDUAL TA%ES OF CHANGES
PO Box 280607
DECEDENTS NAME FILE NUMBER
William W Tritt 2111-0950
REVIEWED BY Robin Graff ACN 11502226
ITEM
SCHEDULE NO, EXPLANATION OF CHANGES
A review has been conducted on this account. The Department has determined that this
joint bank account was properly reported on the probate return, on Schedule B.
Therefore, this assessment has been corrected.
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