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6BUREAU"OF INDIVIDUAL TAXES
INHERITANCE TAX DIYISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
R:2CRCY~D cr:C!CC (liNHERITANCE TAX
-., . .-.RtCORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
2006 OCT 31 M/IO= 20
BLANCHE
CME 199
NEWVILLE
"'I"
HEFFl~INGER J=:L\
PA 17241
CUT ALONG THIS LINE
REY-1604 EX AFP (03-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSNI'DC
ACN
09-29-2006
BOUDER
08-27-2005
21 05-0853
CUMBERLAND
192-32-1871
05154504
Allount Rellitted
GLENN
E
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
--+ RETAIN LOWER PORTION FOR YOUR RECORDS
+-
------------------------------------------------------------------------------------------------------------------------------------------------------------------
REV-1604 EX AFP (03-05)
-- INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS __
DATE 09-29-2006
ESTATE OF BOUDER
GLENN
E DATE OF DEATH 08-27-2005
S.S/D.C. NO. 192-32-1871
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FILE NO. 21 05-0853
ADJUSTMENT BASED ON:
FINANCIAL INSTITUTION: FARMERS NATIONAL BANK
COUNTY
CUMBERLAND
ACN
05154504
ACCOUNT NO. 2163864
TYPE OF ACCOUNT: (X) SAVINGS () CHECKING () TRUST () TIME CERTIFICATE
DATE ESTABLISHED 01-02-2004
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
.00
0.500
.00
.00
.00
.12
.00
TAX CREDITS:
NOTE: TO INSURE 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
TO: "REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-03-2006 CD006166 .00 129.57
TOTAL TAX CREDIT 129.57
BALANCE OF TAX DUE 129.57CR
INTEREST AND PEN. .00
TOTAL DUE 129.1i7~P
· IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. r'6
( IF TOTAL DUE IS LESS THAN $I, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ""CREDIT"" (CR), L!
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
.'
INHERIT ANCE TAX
EXPLANA TlON
OF CHANGES
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME
REVIEWED BY
GLENN BOUDER
SCHEDULE ITEM
NO.
PHYLLIS HOCH
FilE NUMBER
ACN
2105-0853
05154504
The abOve referenced ACN has been reduced to zero, as thIs aCCOunt Was reported on the
probate return.
EXPLANA TlON OF CHANGES
PaQe 1