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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX Z80601
HARRISBURG PA 171Z8-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
*
REV-160~ EX AFP (03-05)
FREDERICK D RICE
801 MYERSTOWN RD
'i~DNERS
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
08-21-2006
RICE
06-22-2005
21 05-0580
CUMBERLAND
199-07-4208
06101047
Allount Rellitted
LORETTA
I
PA 17324
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MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
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__ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS --
DATE 08-21-2006
ESTATE OF RICE
LORETTA I DATE OF DEATH 06-22-2005
COUNTY
CUMBERLAND
FILE NO. 21 05-0580
ADJUSTMENT BASED ON:
S.S/D.C. NO. 199-07-4208
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
ACN
06101047
FINANCIAL INSTITUTION: ADAMS COUNTY NATIONAL BANK
ACCOUNT NO. 2020629
TYPE OF ACCOUNT: () SAVINGS (X) CHECKING () TRUST () TIME CERTIFICATE
DATE ESTABLISHED 04-25-2001
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
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 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" (CRl.
vnll MA v R~ nll~ A R~~lINn _ SI':I': RI':VI':RSI': SIDE OF THIS FORM FOR INSTRUCTIONS. l ~-
REV.1470 EX (6;88)
'* INHERITANCE TAX
EXPLANATION
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG PA 17128-0601
DECEDENrS NAME FILE NUMBER
LORETTA RICE 2105-0580
REVIEWED BY ACN
PHYLLIS HOCH 06101047
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