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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 1]128-0601
CLERK G
ORPHA~~'S COI1R-
CAROL M BAUGHMA~~MRER~ Ain (;O PA
905 EPPLEY RD
M ECHANICSBURG PA 17055-9744
CUT ALONG THIS LINE 1 RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1604 EX AFP (12-117
*^ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ^^
DATE: 04-20-2012
ESTATE OF: BAUGHMAN RICHARD F DATE OF DEATH: 12-15-201.0 COUNTY: CUMBERLAND
FILE NO.: 70 0437017 S.S/D.C. N0.:200-24-1112 ACN: 11130128
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: CITIZENS BANK OF PENNSYLVANIA ACCOUNT N0.: 6100699943
INHERITANCE TAX pennsylvania ~
RECORD ADJUSTMENT
['(~(( .~OJ~7}T('~[y (_{{~~LD OR TRDST ASSETS DEPARTMENT OF REVEN UE
~F~~)~~i~_)r[r ~lrl ~VL VI REV-1604 EX AFP (12-1ll
~I;i2 APR 30 P'i I~ 04
0
DATE [14-20-2012
ESTATE OF BAUGHMAN RICHARD F
DATE OF DEATH 1.2-15-2010
FILE NUMBER i'0 0437017
COUNTY CUMBERLAND
SSN/DC 200-24-1112
ACN 1.1130128
Am~OU nt RemitYatl
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF~ WILLS
1 COURTHOU'.:E SQUARE
CARLISLE F'A 17013
TYPE OF ACCOUNT: ( ) SAVINGS CX) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 06-06-1966
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
5,128.79
X 0.500
2,564.40
.00
2,564.40
X .00
.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
TO: "REGISTER OF WILLS, AGENT."
TAX CREDITS:
TOTAL TAX PAYMENT .00
BALANCE [IF TAX DUE .00
INTEREST' AND PEN. .0
TOTAL DUE
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A
•'CREDIT" (C R). YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
da
INHERITANCE TAX
ni
l
Pennsy
va
a
RECORD ADJUSTMENT ~
~I,QI,EITLY_ H D QR TRUST ASSETS DEPARTMENT OF REVENUE
f
BUREAU OF INDIVIDUAL TAXES f{Fr"+~"' ~-(I I'~
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~`-'~ Imo...; I ,i- Q REV-0604 E% AFP Q2-lll
INHERITANCE TAX DIVISION i~~~ ~ Q
'
PO BOX 280601 (
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"'~~
HARRISBURG PA 17128-0601
:D!2 APR 3O P
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12
,
RICHARD
ESTATE OF BAUGHMAN F
DATE OF DEATH 12-15-2010
UMBER
CLERK CJr
COUNTY
CUMBERLAND
ORPHARI'S ~C'
)~r
~
SSN/DC 200-24-1112
CAROL M BAUGHMAN ~)~IP~~I.~i~1~!~i ~;~_ pA ACN 11130129
905 EPPLEY RD
Amnunt Remittetl
M ECHANICSBURG PA 17055-9744
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~-- RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1604 EX AFP (12-11)
~~ INHERITANCE 7AX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ~^
DATE• 04-20-2012
ESTATE OF: BAUGHMAN RICHARD F DATE OF DEATH: 12-15-2010 COUNTY: CUMBERLAND
FILE NO.: 70 0437017 S.S/D.C. N0.: 200-24-1112 ACN: 11130129
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: CITIZENS BANK OF PENNSYLVANIA ACCOUNT NO.: 6221233236
TYPE OF ACCOUNT: ( ) SAVINGS (X) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 05-19-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
9,156.71
X 0.500
4,578.36
.00
4,578.36
X .uu
.00
NOTE: TO EN SIJRE PROPER CREDIT TO YOUR
ACCOUNT, SUBMIT THE UPPER PORTION
OF THI:-a 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
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
70TAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. •00
TOTAL DUE
IF PATD AFTER THIS GATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IE TDTAL DUE IS REFLECTED AS A
"CREDIT" (CR), YOU MAY BE OUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
REV-1C]0 EX X01-10)
~ ' pennsylvania INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO eaz 280601
DECEDENTS NAME FILE NUMBER
Richard F Baughman 700437017
REVIEWED BY ACN
Ross Garrett 11130128 11130129
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
On the above-referenced ACNs, the tax rate has been adjusted from 15% to 0% as the joint
owner was the decedent's spouse.
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