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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIYISION
PO BOX 2B0601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~if5ihANCE TAX
c_ J CH:RECORD (ADJUSTMENT
JdINTLYHEL;D OR TRUST ASSETS
*
r>:
SUZANNE E VANDERBILT 'j
332 16TH ST
NEW CUMBERLAND PA 17070
f)'j ! I: 3DATE
ESTATE OF
DATE OF DEATH
,~.,.. FILE NUMBER
COUNTY
"\ SSN/DC
ACN
REY-1604 EX AFP [03-05)
Zn.", 11'1 21
..l! ,n ",:J .._.. -I
07-12-2006
EISLEY
06-02-2005
21 05-0535
CUMBERLAND
171-28-4181
05138883
Allount R...i ttad
CLARA
G
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE
--+ RETAIN LONER PORTION FOR YOUR RECORDS
+-
-----------------------------------------------------------------------------------------------------------------------------------------
REV-1604 EX AFP (03-05)
-- INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS __
DATE 07-12-2006
=
ESTATE OF EISLEY
CLARA
G DATE OF DEATH 06-02-2005
COUNTY
CUMBERLAND
FILE NO. 21 05-0535
ADJUSTMENT BASED ON:
S.S/D.C. NO. 171-28-4181
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
ACN
05138883
FINANCIAL INSTITUTION: PNC BANK
ACCOUNT NO. 5140018117
TYPE OF ACCOUNT: () SAVINGS (X) CHECKING () TRUST () TIME CERTIFICATE
DATE ESTABLISHED 05-04-1989
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
.00
0.166
.00
.00
.00
.45
.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 RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00 06
TOTAL DUE on
. IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1. 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.)
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX Z80601
HARRISBURG PA 171Z8-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
. r","I_ INHERITANCE TAX
BCL',n,-,p" nr-rtofrn, ,C ~D ADJUSTMENT
":',~,JQlI'JT~'V!-ttELD OR TRUST ASSETS
' '~_. \~ 1,- '" :. " _ ,\,
*
2017S JUL 2L} Mi!!: 37
niX'!
SUZANNE E VANDERBtt.r.' '
332 16TH 51 \j'-
NEW CUMBERLAND PA 17070
CUT ALONG THIS LINE
REV-1604 EX AFP [03-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
I
07-12-2006
EISLEY
06-02-2005
21 05-0535
CUMBERLAND
171-28-4181
05138885
Allount RelliHed
CLARA
G
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE3 PA 17013
--+ RETAIN LOWER PORTION FOR YOUR RECORDS
+-
----------------------------------------------------------------------------------------------------------------------------------------------
REV-1604 EX AFP (03-05)
-- INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS __
DATE 07-12-2006
ESTATE OF EISLEY
CLARA
G DATE OF DEATH 06-02-2005
S.S/D.C. NO. 171-28-4181
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FILE NO. 21 05-0535
ADJUSTMENT BASED ON:
FINANCIAL INSTITUTION: PNC BANK
COUNTY
CUMBERLAND
ACN
05138885
ACCOUNT NO. 31700215213
.
TYPE OF ACCOUNT: () SAVINGS () CHECKING (x) TRUST () TIME CERTIFICATE
DATE ESTABLISHED 07-31-2001
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
.45
.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: IIREGISTER OF WILLS, AGENT.II
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE nn
· IF PAID AFTER THIS DATE3 SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
( IF TOTAL DUE IS LESS THAN $13 NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR) 3
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
REV-1470 EX (6-88)
INHERI~~~:~IAJ~!CE
EXPLANATfON ".,' ._
OF CHAtiGES
I'J' "I fi III \: 3
\ F,\ 1_ L:; ,d
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG PA 17128-0601
DECEDENTS NAME
REVIEWED BY
Clara G. Eisley
Colin O'Malley
ITEM
SCHEDULE NO.
ACN
FILE NUMBER
2105-0535
05138883,05138885
EXPLANATION OF CHANGES
The above accounts have been removed as they were already reported on the prObate
return.
ROW
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