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Home My WebLink About08-10-07 (2) BUREAU OF I~fVIDUAL TAXES INHERITANCE TAX OIVI~'ON PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE fNJ:l~!UTANCE TAX RECORO' ADJUSTMENT JOINTLY HELD OR TRUST ASSETS '* REV-1604 EX AFP (03-05) JAMES WALTER C/O 108 BRAMBLEWOOD LN LEWISBERRY PA 17339 DATE 2007 AUG I 0 J~h II: ~fI:::T~F O~EATH FILE NUMBER CL I~RI< OF COUNTY ORPH :,~J'S CO:JRT SSN/DC cUlr un D~ACN "'~I 07-31-2007 FLUHARTY 09-15-2006 21 06-0835 CUMBERLAND 235-07-8960 06157545 HELEN V 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 07-31-2007 ESTATE OF FLUHARTY HELEN V DATE OF DEATH 09-15-2006 COUNTY CUMBERLAND FILE NO. 21 06-0835 ADJUSTMENT BASED ON: S.S/D.C. NO. 235-07-8960 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 06157545 FINANCIAL INSTITUTION: CITIZENS BANK OF PA ACCOUNT NO. 6247351416 TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE DATE ESTABLISHED 07-20-2005 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions - Taxable Amount Tax Rate X Tax Due .00 1. 000 .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 DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID 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 $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) .00 .00 .00 nn / (CR) , ~) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE " 1KHERITANCE TAX RECORD ADJUSTMENT JOINTlY HELD OR TRUST ASSETS *' BUREAU OF INPJVII.olAL TAXES INHERITANCE TAX DIVI~N PO BDX 280601 HARRISBURG PA 17128-0601 REV-1604 EX AFP <03-05) 2001 AUG 10 M';j II: 20 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN GENEVIEVE WALTER ('L -r.v nr- .J Enr\, \JI ORPH~l,rS COURT CI..'I f' ," 0,\ \)1 to" 108 BRAMBLEWOOD LN LEWISBERRY PA 17339 07-31-2007 FLUHARTY 09-15-2006 21 06-0835 CUMBERLAND 235-07-8960 06157546 V HELEN 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 07-31-2007 COUNTY CUMBERLAND ESTATE OF FLUHARTY HELEN V DATE OF DEATH 09-15-2006 ACN 06157546 FILE NO. 21 06 - 0835 ADJUSTMENT BASED ON: S.S/D.C. NO. 235-07-8960 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: CITIZENS BANK OF PA ACCOUNT NO. 6247351424 TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE DATE ESTABLISHED 07-20-2005 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions - Taxable Amount Tax Rate X Tax Due .00 1. 000 .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: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE DO * 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,) REV-1470 EX (-l '* INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG PA 17128-0601 DECEDENTS NAME FILE NUMBER 2106-0835 06157545,06157546 HELEN V FLUHARTY REVIEWED BY ACN Laurel Fulmer ITEM SCHEDULE NO. EXPLANATION OF CHANGES The above referenced "ACN" numbers has been adjusted to zero as they were paid and reported on the probate return. Page 1