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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
,INHERITANCE TAX
R'ECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
'*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280&01
HARRISBURG PA 17128-0&01
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TRACEY LUNCH
612 W LOCUST ST
CLEARFIELD
PA 16830
REV-l&04 EX AFP (03-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
03-22-2007
FRY
08-12-2005
21 06-0454
CUMBERLAND
200-32-2830
05149241
K
HAZEL
Amount Remitted
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 03-22-2007
ESTATE OF FRY
HAZEL
CUMBERLAND
K DATE OF DEATH 08-12-2005
COUNTY
ACN
FILE NO. 21 06-0454
ADJUSTMENT BASED ON:
S.S/D.C. NO. 200-32-2830
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
05149241
ACCOUNT NO.
12122602
FINANCIAL INSTITUTION: CLEARFIELD BANK & TRUST CO
TYPE OF ACCOUNT: () SAVINGS () CHECKING (X) TRUST () TIME CERTIFICATE
DATE ESTABLISHED 10-10-1997
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
4,892.63
0.333
1,630.86
.00
1,630.86
.45
73.39
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 (-)
06-11-2006 CD006825 .00 5.08
INTEREST IS CHARGED THROUGH 04-06-2007 TOTAL TAX CREDIT 5.08
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 68.31
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 4.52
TOTAL DUE 7? R~
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. J
( 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.)
REV-1470 EX (6-88)
'*
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME
Hazel K. Fry
FILE NUMBER
REVIEWED BY
Laurel Fulmer
ACN
2106-0454
05149241
ITEM
SCHEDULE NO.
EXPLANATION OF CHANGES
The above referenced ACN has been adjusted to the lineal rate of 4.5% since the joint
tenant is the grandchild of the decedent.
ROW
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