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BUREAU O~ INOIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 28060X
HARRISBURG PA 11128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
REV-1604 EX AFP (03-05)
2008 APR 11 PH I: 02
JANET
168 LOCUST
DILLSBURG
('Lr"OV l"\C
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ORPHA\fS C:()tJRT
MA ~~!trs
GROVE RD
PA 17019-9614
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
04-03-2008
DOTTER
09-09-2006
21 06-0819
CUMBERLAND
112-05-4168
07103246
HELEN
C
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
4-
..----------....................---...---------........-.-.-.-.-.-.....-.-------.--.-.-.-.-.-.....-.-.----------------.--.-.-.....-----.-.-.....-------.------...
REV-1604 EX AFP (03-05)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE 04-03-2008
ESTATE OF DOTTER
HELEN
C DATE OF DEATH 09-09-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-0819
ADJUSTMENT BASED ON:
S.S/D.C. NO. 112-05-4168
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
ACN
07103246
FINANCIAL INSTITUTION: CITIZENS BANK OF PA
ACCOUNT NO.
6140221404
TYPE OF ACCOUNT: (X) SAVINGS () CHECKING () TRUST () TIME CERTIFICATE
DATE ESTABLISHED 06-16-1997
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
.15
.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 no
31 IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. r,
( IF TOTAL DUE IS LESS THAN *1. NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), ~
-- - -__..u~ .."" DCVCge::I' Sloe OF THIS FORM FOR INSTRUCTIONS.)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARf':ISBURG PA 17128-0601
DECEDENT'S Nt,ME
REV-1470 EX (6-88)
REVIEWED BY
ITEM
SCHEDULE NO.
INHERITANCE TAX
EXPLANATION
OF CHANGES
FILE NUMBER
Helen Dotter
Department of Revenuel Emerson Luciano
ACN
EXPLANATION OF CHANGES
The above referenced ACN has been reduced to zero, as this account
was reported on the probate return.
2106-0819
07103246
Paqe 1