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Home My WebLink About98-0751 BUR~AUi::tJ:'~J;!h6i~~i;*ES INHERIl'AHCE: TAlCDIilirsnlN -: PO BOX}aeiiOl. . . "- HARRISBURG PA 171Z8-0601 COMMlNWEA~TH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS '* ! ',".' '.... -. 00 ......., nt, .. iUe D 1 ~...' i \ REY-1604 EX AFP (03-05) AVA E IRICK 331 WOLF BRIDGE RD CARLISLE PA 17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 09-08-2006 CLARK 07-14-1998 21 98-0751 CUMBERLAND 446-03-7935 00001760 Allount R...i tted ALICE A ("'.:-,.. MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLEI 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 09-08-2006 ESTATE OF CLARK ALICE A DATE OF DEATH 07-14-1998 COUNTY CUMBERLAND FILE NO. 21 98-0751 ADJUSTMENT BASED ON: S.S/D.C. NO. 446-03-7935 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 00001760 FINANCIAL INSTITUTION: MANUF LIFE INS CO ACCOUNT NO. 3891607 TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST () TIME CERTIFICATE DATE ESTABLISHED 01-31-1989 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 RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE 00 · IF PAID AFTER THIS DATEI SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $11 NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT.. (CR)I (\ J YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ~ '~,:~ r'(-\;:',~'~ '=r'l C:~C('= ::C/'i~. ! '. ,~~AUOf,;:{NDIVIDuAL TAXES lNIQUo\NCEJAX DIVISION FlGaox ZS0601 HA~SBU~~, PA :~71Z~06010 'J~r( <;,". \ r' ,'.' tJ,JlW v ~ COMMINWEAL'H OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS *' REV-1604 EX AFP (03-05) AVA ElRICK 331 WOLF BRIDGE RD CARLISLE PA 17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 09-08-2006 CLARK 07-14-1998 21 98-0751 CUMBERLAND 446-03-7935 00001761 Allount R_l tt.d ALICE A f' \...-1 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 09-08-2006 ESTATE OF CLARK ALICE A DATE OF DEATH 07-14-1998 COUNTY CUMBERLAND FILE NO. 21 98-0751 ADJUSTMENT BASED ON: S.S/D.C. NO. 446-03-7935 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 00001761 FINANCIAL INSTITUTION: MANUF LIFE INS CO ACCOUNT NO. 3891670 TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST () TIME CERTIFICATE DATE ESTABLISHED 01-31-1989 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 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 DATE~ SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $l~ NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ..CREDIT" (CR) ~ YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) Cb \, ."', \ "od " n '"' UV COMM~NWEA~TH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS - ,....:-\, ."c.\"\ C~\-:'~\I~.:,~ ,'_ \ BURI!""~',~~J:~J:IliPUAl,. \T~XES INHERtrAf'lCE ' 1'AIC', QIVI~IllN ' " PO Boxzaq6D.l. ' - HARRISBURG PA 17128-0601 l'G~S REY-1604 EX AFP (03-05) (-' DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSNI'DC ACN 09-08-2006 CLARK 07-14-1998 21 98-0751 CUMBERLAND 446-03-7935 00001762 Allount R..i tted ALICE A r~ARL C CLARK ~y. 331 WOLF BRIDGE RD CARLISLE PA 17013 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 09-08-2006 = ESTATE OF CLARK ALICE A DATE OF DEATH 07-14-1998 COUNTY CUMBERLAND FILE NO. 21 98-0751 ADJUSTMENT BASED ON: S.S/D.C. NO. 446-03-7935 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 00001762 FINANCIAL INSTITUTION: MANUF LIFE INS CO ACCOUNT NO. 3891671 TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST () TIME CERTIFICATE DATE ESTABLISHED 01-31-1989 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 RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE on · IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. Cb ( IF TOTAL DUE IS LESS THAN $1. NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT"" (CR). YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS.) REV-1470 EX (6-88) . . '* INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES , PO Box 280601 HA BURG PA 17128-0601 DECED~ ~. ,MWE (,.,,\ '"" /"", '-" ". Alice A. Clark J \'j \ Joan Peters FILE NUMBER (,,-R;a~Eq. BY :''S<.>~>-<_. , ACN 2198-0751 00001760,00001761, 00001762 EXPLANATION OF CHANGES TIle above referenced Account Control Number has been adjusted to zero since the jOint bank account was reported on the Inheritance Tax Return. 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