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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
INHERITANCE TAX
RECORD ADJUSTMENT
JQ~b,T,~.Y~.,HELD OR TRUST ASSETS
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THERESE FISHER ~uE~~r'I ~`''I``,~: ~`,,-, F'~
803 LINWOOD STREET
NEW CUMBERLAND PA 17070
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1b04 EX AFP (12-09)
DATE 10-27-2010
ESTATE OF SCHARDING ROBERT M
DATE OF DEATH 09-28-2009
FILE NUMBER 21 09-0929
COUNTY CUMBERLAND
SSN/DC 344-12-9002
ACN 09169971
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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 ASSETS **
DATE: 10-27-2010
ESTATE OF: SCHARDING ROBERT M DATE OF DEATH: 09-28-2009 COUNTY: CUMBERLAND
FILE NO.: 21 09-0929 S.S/D.C. N0.:344-12-9002
ACN: 09169971
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS iST FCU ACCOUNT NO.: 15077-00
TYPE OF ACCOUNT: C b SAVINGS C ) CHECKING C ) TRUST C ~ TIME CERTIFICATE
DATE ESTABLISHED 08-14-1973
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
X 0.500
.00
_ .00
.00
X .045
.00
NOTE: TO ENSURE 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
T0: "REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX PAYMENT .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 REFLECTED AS A
"CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
REV-1470 EX (&88)
INHERITANCE TAX
EXPLANATION
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG PA 17128-0801
DECEDENTS NAME FILE NUMBER
ROBERT M SCHARDING 2109-0929
REVIEWED BY
Department of RevenueiClaudia Maffei 09169971
ITEM
SCHEDULE Np, EXPLANATION OF CHANGES
Above-referenced ACN(s~ are being adjusted to reflect zero tax due since they have been
reported on the probate return.
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