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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
OFF!~l~~~ I ~~~~~T~:~T
j-lJIOI"NT1Uf I HELD OR TRUST ASSETS
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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 1712B- 0601
2008 APR -4 PM I: 55
CLERK OF
ORPHp,,\!'S COURT
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ABRAM 0 MYERS
984 GREENSPRING RD
NEWVILLE PA 17241
REV-1604 EX AFP (03-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
03-26-2008
MYERS
02-16-2007
21 08-0225
CUMBERLAND
177-42-1161
07113361
PAUL
E
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 03-26-2008
ESTATE OF MYERS
PAUL
CUMBERLAND
E DATE OF DEATH 02-16-2007
COUNTY
FILE NO. 21 08-0225
ADJUSTMENT BASED ON:
S.S/D.C. NO. 177-42-1161
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK
ACN
07113361
ACCOUNT NO.
815942
TYPE OF ACCOUNT: () SAVINGS (X) CHECKING C) TRUST () TIME CERTIFICATE
DATE ESTABLISHED 01-30-2001
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
2,061.91
0.166
343.66
1,626.00
.00
.15
.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 RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
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), ~
~~~ D~V~Q~~ SIDE OF THIS FORM FOR INSTRUCTIONS.)