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Home My WebLink About10-26-07 BUREAU OF INDIVIDUAL TAXES INHERITANCE TKx DIV1~ION PO BOX 2B0601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS '* REV-1604 EX AFP (03-05) CHRISTEL EITLER 1812 BRIDGE ST NEW CUMBERLAND PA 17070-1125 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 10-18-2007 EITLER 05-14-2007 21 07-0745 CUMBERLAND 206-32-2609 07127683 MARY o Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS r~ =~ CUMBERLAND CO COURTRQ\::t)SE --,I CARLISLE, PA 17013 -t1 r,,) C:'"l ," , ..____..._____..___________________________________...________.._____..._______._______...______.._____..._____.._______.._______~-...;.._...-:.;....;_.__.-""'~--.__i CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS ~' -" REV-1604 EX AFP (03-05) u INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS,." DATE 10-'18-2007 C,) (--.) i",J , 1 ESTATE OF EITLER MARY o DATE OF DEATH 05-14-2007 COUNTY CUMBERLAND FILE NO. 21 07-0745 ADJUSTMENT BASED ON: S.S/D.C. NO. 206-32-2609 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 07127683 FINANCIAL INSTITUTION: PSECU ACCOUNT NO. 0206322609C51 TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE DATE ESTABLISHED 01-15-1979 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 nn * 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 2B0601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS *' REV-1604 EX AFP (03-05) CHRISTEL EITLER 1812 BRIDGE ST NEW CUMBERLAND PA 17070-1125 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 10-18-2007 EITLER 05-14-2007 21 07-0745 CUMBERLAND 206-32-2609 07127684 MARY o Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 :"'--~) C) , ;0 'I ) CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~-) . , ................................................-......................-..-.................................................._.,;,....-~,~.....,..0-_.............. REV-l604 EX AFP (03-05) , (;,] u INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS 114' DATE lO-1:~I~~2~D07::2 ., ; - ' ESTATE OF EITLER MARY o DATE OF DEATH 05-14-2007 COUlf~y:i '-J . I CUMBERLAND (...) . .s;- FILE NO. 21 07-0745 ADJUSTMENT BASED ON: S.S/D.C. NO. 206-32-2609 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 07127684 FINANCIAL INSTITUTION: PSECU ACCOUNT NO. 0206322609C50 TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE DATE ESTABLISHED 01-15-1979 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" (CR), YOU KAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) BUREAU OF INDIVIDUAL TAXES INHERITANCE tAX DIVlsION PO BOX 2B0601 HARRISBURG PA 1712B-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS '* REV-1604 EX AFP (03-05) CHRISTEL EITLER 1812 BRIDGE ST NEW CUMBERLAND PA 17070-1125 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 10-18-2007 EITLER 05-14-2007 21 07-0745 CUMBERLAND 206-32-2609 07127685 MARY o Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT REGISTER OF WILLS ~, :...---., 1---- CUMBERLAND CO COURT~~SE CARLISLE, PA 17013=,~; TO: C) ) -, ~--.'i f',) t.... '\ , I -, _......____....___...._____.._____...____...________..______a.___.....____......____....____......____....__--.....---..---.......-.....,.---....-----.............- 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~i. .~ DATE 10-'18-2007 (,,0 r- ESTATE OF EITLER MARY o DATE OF DEATH 05-14-2007 COUNTY CUMBERLAND FILE NO. 21 07-0745 ADJUSTMENT BASED ON: S.S/D.C. NO. 206-32-2609 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 07127685 FINANCIAL INSTITUTION: PSECU ACCOUNT NO. 0206322609-4 TYPE OF ACCOUNT: () SAVINGS (X) CHECKING () TRUST () TIME CERTIFICATE DATE ESTABLISHED 01-15-1979 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 nn * IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN H, ND PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) Ct, BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIV~SION PO BOX 280601 HARRIS8URG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS *' REV-1604 EX AFP (03-05) CHRISTEL EITLER 1812 BRIDGE ST NEW CUMBERLAND PA 17070-1125 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 10-18-2007 EITLER 05-14-2007 21 07-0745 CUMBERLAND 206-32-2609 07127686 MARY o Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 TO: (:-::-. CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS ~~-) --, _____..____________.._________________________________..----...-------.....---....------.--..----....-----..._----_._.._----.-IIII~;.~._...~.;,~._-_.__..._~- REV-1604 EX AFP C03-05)-' lEI! INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS'll!l' , DATE 10 -182- 20 07 =-=i -4 ~.! ,,~ 1 ESTATE OF EITLER MARY o DATE OF DEATH 05-14-2007 COUN~T-Y , ~'I !'--, a1MBERLAND r FILE NO. 21 07-0745 ADJUSTMENT BASED ON: S.S/D.C. NO. 206-32-2609 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 07127686 FINANCIAL INSTITUTION: PSECU ACCOUNT NO. 0206322609C52 TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE DATE ESTABLISHED 01-15-1979 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 nn * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ct ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), .YOU KAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS *' REV-1604 EX AFP (03-05) CHRISTEL EITLER 1812 BRIDGE ST NEW CUMBERLAND PA 17070-1125 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 10-18-2007 EHLER 05-14-2007 21 07-0745 CUMBERLAND 206-32-2609 07127687 MARY o Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT REGISTER OF WILLS ' - CUMBERLAND CO COURT ~~~SE CARLISLE, PA 17013 '~J TO: c-::) ','-) , , r-,-.) (:.:.~ ) CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS ~ /.~ ..____.._____.._______________...____..._____________.___._______..____.....___....___...____.__.___....___...----...-----.--""...,...M----.~---..----~i REV-l604 EX AFP (03-05) l!lI INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ..31\ ',",,) _,i DATE 10 -18 -2007 W ESTATE OF EITLER MARY o DATE OF DEATH 05-14-2007 COUNTY CUMBERLAND FILE NO. 21 07-0745 S.S/D.C. NO. 206-32-2609 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 07127687 ADJUSTMENT BASED ON: FINANCIAL INSTITUTION: PSECU ACCOUNT NO. 0206322609-1 TYPE OF ACCOUNT: (X) SAVINGS () CHECKING () TRUST () TIME CERTIFICATE DATE ESTABLISHED 01-15-1979 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 nn * 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 HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE'TAX DI.ISION PO BOX 2B0601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS '* REV-1604 EX AFP (03-05) CHRISTEL EITLER 1812 BRIDGE ST NEW CUMBERLAND PA 17070 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 10-18-2007 EITLER 05-14-2007 21 07-0745 CUMBERLAND 206-32-2609 07129229 MARY o Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT REGISTER OF WILLS _. ~~ ( ) CUMBERLAND CO COURT'~~SE CARLISLE, PA 17013 ~l TO: C~ CO) , "_J <.~.- ~ CUT ALONG THIS LINE ...... RETAIN LOWER PORTION FOR YOUR RECORDS +-':_)-,.., -----.....----....----...------..----..-------.------.------...-------..------..------...--------------....------.--..----..................---.......----...-----.. REV-1604 EX AFP (03-05) .i u INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSET~I1HE DATE 10 -f8 - 20 07 (.,) r,__) ~~ ESTATE OF EITLER MARY o DATE OF DEATH 05-14-2007 COUNTY CUMBERLAND FILE NO. 21 07-0745 S.S/D.C. NO. 206-32-2609 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 07129229 ADJUSTMENT BASED ON: FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 175990-46 TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE DATE ESTABLISHED 01-02-2004 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 nn / * 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 HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) BUREAU OF INDIVIDUAL TAXES INHERITANC~ TAX OrvISION PO BOX 2B0601 HARRISBURG PA 1712B-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS * REV-1604 EX AFP (03-05) CHRISTEL EITLER 1812 BRIDGE ST NEW CUMBERLAND PA 17070 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 10-18-2007 EITLER 05-14-2007 21 07-0745 CUMBERLAND 206-32-2609 07132249 MARY o Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: ""--.-'). REGISTER OF WILLS . . /'") CUMBERLAND CO COURTC'~~OUSE"~~ CARLISLE, PA 17013"~ . r-.) L' __....______.____.______..____________..____________..____._____.._____..._____.____._____..._____....___________...____.1Ii........_....._._.---.__.____....._.~.. 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~~~ : ~ c,) DATE 10-18-2007;:- ESTATE OF EITLER MARY o DATE OF DEATH 05-14-2007 COUNTY CUMBERLAND FILE NO. 21 07-0745 S.S/D.C. NO. 206-32-2609 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 07132249 ADJUSTMENT BASED ON: FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 31100213636 TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE DATE ESTABLISHED 07-05-2001 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 nn ~ * 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 INHERITANC~ TAX OtVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS '* REV-1604 EX AFP (03-05) CHRISTEL EITLER 1812 BRIDGE ST NEW CUMBERLAND PA 17070 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 10-18-2007 EITLER 05-14-2007 21 07-0745 CUMBERLAND 206-32-2609 07132250 MARY o Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS _ ( ) ,;:, CUMBERLAND CO COURT~~USE ..-! CARLISLE, PA 17013-'J r'-,.7: :':'1 . .. - --...--------------------..--------------------------------------------..-----.----...----..----------------_..--_...-------_....~.._-_.......--_.._--_.......-- CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS ..,..;.- REV-1604 EX AFP (03-05) u INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSET,S:~u DATE 10;;'18-200~.,) .;;:-- "._'-~.) ESTATE OF EITLER MARY o DATE OF DEATH 05-14-2007 COUNTY CUMBERLAND FILE NO. 21 07-0745 S.S/D.C. NO. 206-32-2609 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 07132250 ADJUSTMENT BASED ON: FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 31700278103 TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE DATE ESTABLISHED 11-22-2005 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 nn " 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 HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) - REV.1470 EX (~88) .* INHERITANCE TAX EXPLANATION COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OF CHANGES BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG PA 17128-0601 DECEDENTS NAME FILE NUMBER Mary Eitler 2107 -0745 REVIEWED BY ACN Rick Olson 07127683,07127684, 07127685,07127686, 07127687,07129229, 07132249,07132250 ITEM SCHEDULE NO. EXPLANATION OF CHANGES The above referenced ACN has been reduced to zero as this account was reported on the probate return. ROW PaQe 1 -