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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
'*
BUREAU OF INDI~iDUkl! TAXE~
INHERITANCE TAX DIVISION .
PO lOX 280601
~RRISIURG PA 17128-0601
2007 OCT 12 PM 12: I 3
REV-1604 EX AFP (03-05)
SANDRA
715 15TH ST
NEW CUMBERLAND
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TOBIAS
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
10-05-2007
EHRHART
09-26-2006
21 06-1149
CUMBERLAND
182-16-6858
06157560
E
L
PA 17070-1512
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONS THIS LINE
-+ RETAIN LOWER PORTION FOR YOUR RECORDS
4-
-----.--.-----..-.--.-.-..-.--..--.--.-..-..-....--..---..-..--...------------...--.-
REV-1604 EX AFP (03-05)
-- INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS __
DATE 10-05-2007
ESTATE OF EHRHART
E
L DATE OF DEATH 09-26-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-1149
ADJUSTMENT BASED ON:
S.S/D.C. NO. 182-16-6858
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
ACN
06157560
FINANCIAL INSTITUTION: CITIZENS BANK OF PA
ACCOUNT NO.
6100768562
TYPE OF ACCOUNT: () SAVINGS (X) CHECKING () TRUST () TIME CERTIFICATE
DATE ESTABLISHED 09-17-1975
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 RESISTER 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.
( 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 R FUND. SEE EVE D F
E
R RSE SI E 0 THIS FORM FOR INSTRUCTIONS.)
BUREAU OF INDIttDU~. TAXES
INHERITANCE TAX DIVISION
PO BOX 280&01
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)
SANDRA TOBIAS
715 FIFTEENTH ST
NEW CUMBERLAND PA 17070
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
10-05-2007
EHRHART
09-26-2006
21 06 -1149
CUMBERLAND
182-16-6858
07000471
E
L
AIIDunt 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 10-05-2007
ESTATE OF EHRHART
E
L DATE OF DEATH 09-26-2006
COUNTY
CUMBERLAND
FILE NO. 21 06 -1149
ADJUSTMENT BASED ON:
S.S/D.C. NO. 182-16-6858
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
ACN
07000471
FINANCIAL INSTITUTION: REALESTATE CUMBERLAND CO
ACCOUNT NO.
000
TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST () TIME CERTIFICATE
DATE ESTABLISHED 01-30-2000
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 /i
II IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 9
( 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
E L EHRHART
FILE NUMBER
Judy Watts
ACN
2106-1149
06157560 & 07000471
REVIEWED BY
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
The above ACN's have been zeroed out since they have already been reported and paid on
the probate return.
ROW
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