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BUREAU OF INL1V:DWAL 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-160~ EX AFP (03-05)
MATTHEW K WAGNER
13 HOMESTEAD LN
CAMP HILL
r"
,
:r; I [ I If. ! 9DATE 01-07-2008
" '-i- i-
ESTATE OF POWELL
DATE OF DEATH 08-12-2006
, ' (-";~. FILE NUMBER 21 06-0730
Ir'T COUNTY CUMBERLAND
SSN/DC 174-20-6085
ACN 06152630
Amount Remitted
JEAN D
PA 17011
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 01-07-2008
ESTATE OF POWELL
JEAN
D DATE OF DEATH 08-12-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-0730
ADJUSTMENT BASED ON:
S.S/D.C. NO. 174-20-6085
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
ACN
06152630
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
261572-53
TYPE OF ACCOUNT: () SAVINGS () CHECKING (X) TRUST () TIME CERTIFICATE
DATE ESTABLISHED 03-16-2005
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
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" (CR), ~
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
REV-147Q 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
FILE NUMBER
Jean D. Powell
REVIEWED BY
ACN
2106-0730
06152630
Eunice Baker
ITEM
SCHEDULE NO.
EXPLANATION OF CHANGES
The above account has been adjusted to zero. The account was reported on the probate
return.
ROW
Paqe 1