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Home My WebLink About10-31-06 (3) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE .. pC'"'('orv::r, (~- -1 r-..- INHERITANCE TAX BUREAU OF INDIVIDUAL TAXts- ) - ---- ,,,.1,-F-,CE :;- RECORD ADJUSTMENT ~~H~~~T~:~~O~AX DIVISION r;-' ' :' i r -, ,- r;"'OINTL Y HELD OR TRUST ASSETS HARRISBURG PA 17128-0601 . REV-1604 EX AFP (03-05) loaF, GP' ? / -~ J I v i~i"110: 20 SHARON 77 WINDY NEWVILLE C;~~r I : O/::{-'/- ,. \ CUiHOOVER HILL RD DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 09-27-2006 BOUDER 08-27-2005 21 05-0853 CUMBERLAND 192-32-1871 05154502 Allount Rellitted GLENN E PA 17241 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ REV-1604 EX AFP (03-05) __ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS -- DATE 09-27-2006 ESTATE OF BOUDER GLENN E DATE OF DEATH 08-27-2005 COUNTY CUMBERLAND FILE NO. 21 05-0853 ADJUSTMENT BASED ON: S.S/D.C. NO. 192-32-1871 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 05154502 FINANCIAL INSTITUTION: FARMERS NATIONAL BANK ACCOUNT NO. 5985706 TYPE OF ACCOUNT: (X) SAVINGS () CHECKING () TRUST () TIME CERTIFICATE DATE ESTABLISHED 11-05-2001 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 .15 .00 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." TAX CREDITS: PAYMENT DATE 12-23-2005 RECEIPT NUMBER CDo06169 DISCOUNT (+) INTEREST/PEN PAID (-) .00 AMOUNT PAID 37.51 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $I, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) 37.51 37.51CR .00 37 51 CQf" J (CR) \..:f, REV-1.47Q EX (6-88. '* INHERITANCE TAX EXPLANATION COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OF CHANGES BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME FILE NUMBER GLENN BOUDER 2105-0853 REVIEWED BY ACN PHYLLIS HOCH 05154502 SCHEDULE ITEM EXPLANATION OF CHANGES NO. The above referenced ACN has been reduced to zero, as this account was reported on the probate return. Paqe 1 t . B~}EAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX Z80601 HARRISBURG PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE RE0CRDEO ClX'CE Cj~~~~~~Il~~~~T~~~T , i JOIN:T'L Y HELD OR TRUST ASSETS 2U06 OCT 3 I H,! In' 20 HII .,-' BLANCHE CME 199 NEWVILLE CI C:"! L.:":,:\ HEFFLe8~~ PA 17241 REV-1604 EX AFP (03-05) DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 09-27-2006 BOUDER 08-27-2005 21 05-0853 CUMBERLAND 192-32-1871 05154503 Allount Rellitted GLENN E MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS 4-- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ REV-1604 EX AFP (03-0S) __ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS -- DATE 09-27-2006 ESTATE OF BOUDER GLENN CUMBERLAND E DATE OF DEATH 08-27-2005 COUNTY ACN 05154503 FILE NO. 21 05-0853 ADJUSTMENT BASED ON: S.S/D.C. NO. 192-32-1871 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: FARMERS NATIONAL BANK ACCOUNT NO. 9627448 TYPE OF ACCOUNT: (X) SAVINGS () CHECKING () TRUST () TIME CERTIFICATE DATE ESTABLISHED 09-23-1996 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 CD006168 .00 401.50 TOTAL TAX CREDIT 401. 50 BALANCE OF TAX DUE 401.50CR INTEREST AND PEN. .00 TOTAL DUE 401 5DeR . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ ( IF TOTAL DUE IS LESS THAN $I, NO PAYMENT IS REQUIRED. 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 (6-88) \ '" '* INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME REVIEWED BY GLENN BOUDER PHYLLIS HOCH SCHEDULE ITEM NO. EXPLANATION OF CHANGES FILE NUMBER ACN 2105-0853 05154503 The above referenced ACN has been reduced to zero, as this account was reported on the probate return. Paqe 1