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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
INHERITANCE TAX
j?~~ ~h,-~r;~~`~"'f''. ~rr~'~~~~Y HELD 0 J TRUST ASSETS
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KATHY HARTMAN
3601 SULLIVAN ST
MECHANICSBURG PA 17050
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1604 EX AFP C12-09)
DATE 04-30-210
ESTATE OF HARTMAN CARL B
DATE OF DEATH 05-09-2 06
FILE NUMBER 21 06-0 76
COUNTY CUMBERL ND
SSN/DC 204-03- 677
ACN 0600232
MAKE CHECK PAYABLE AN REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUA E
CARLISLE PA 170 3
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS
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REV-1604 EX AFP C12-09~
~* INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST AS ETS **
DATE: 04-30-2010
ESTATE OF: HARTMAN CARL B DATE OF DEATH: 05-09-2006 CO NTY: CUMBERLAND
FILE NO.: 21 06-0476 S.S/D.C. N0.:204-03-7677 ACN: 06002323
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: AMERICHOICE FED CREDIT UNION ACCOUNT NO :34051
TYPE OF ACCOUNT: CX) SAVINGS C ) CHECKING ( ~ TRUST C ~ TIME CERTIIFICATE
DATE ESTABLISHED 04-01-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
Tex f_R~iITTC
.00
X 0.500
.00
.00
.00
X .045
.00
NOTE: TO ENSURE PRO ER CREDIT TO YOUR
ACCOUNT, SUBM T THE UPPER PORTION
OF THIS NOTIC WITH YOUR TAX
PAYMENT TO TH REGISTER OF WILLS
AT 7HE ADDRES SHOWN ABOVE.
MAKE CHECK OR MONEY ORDER PAYABLE
T0: "REGISTE OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
10-26-2006 CD007392 .00 300.82
04-29-2010 REFUND .00 300.82
TOTAL TAX PAYME T .~
BALANCE OF TAX DUE
INTEREST AND PE .
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL E IS REFLECTED AS A
"CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIO S.
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REV-1470 EX (6-88)
INHERITANCE TAX
COMMONWEALTH OF PENNSYLVANIA EXPLANATION
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES I'
PO Box 280601
HARRISBURG PA 17128-0601 ~
DECEDENT'S NAME FI E NUMBER
Carl B. Hartman 2106-0476
REVIEWED BY A N
Jennifer J. Schaefer 06002323
SCHEDULE ` INO ~ EXPLANATION OF CHANGES
Reported on probate return. Refund in process.
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