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INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601 r _ • ~ ~ +- -., rte, ,-~ r ~ ~ _
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ROBERT D DUNKLEBERGER(
168b W LISEBURN
MECHANICSBURG PA 17055
. _ .
•
pennsylvan~a F ~ r~
DEPARTMENT OF REVENUE
REV-1604 EX AFP C12-10)
DATE 02-18-2011
ESTATE OF DUNKLEBERGER JR ROBERT D
DATE OF DEATH 02-10-2010
FILE NUMBER 21 10-0204
COUNTY CUMBERLAND
SSN/DC 194-60-0911
ACN 10114763
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 C12-10)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE• 02-18-2011
ESTATE 0F: DUNKLEBERGER JR ROBERT D DATE OF DEATH: 02-10-2010 COUNTY: CUMBERLAND
FILE NO.: 21 10-0204 S.S/D.C. N0.:194-60-0911
ACN: 10114763
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: FARMERS 8~ MERCHANTS TRUST CO ACCOUNT NO.: 33-08820
TYPE OF ACCOUNT: C ) SAVINGS CX) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 09-27-1996
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 C+)
INTEREST/PEN PAID C-) 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~X (01-10)
pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISB R PA 17128-0601
DECEDENT'S NAME
Robert Dunkleberger Jr
REVIEWED BY
Scott Ellison
INHERITANCE TAX
EXPLANATION
OF CHANGES
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
This duplicated account has been adjusted to zero.
ROW
FILE NUMBER
2110-0204
ACN
10114763
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