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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 171"<'8-0601
RITANCE TAX
~~'pPJ~-(7 (~''~.'I I D ADJUSTMENT
b LD OR TRUST ASSETS
REG;~ ~ ~,, L,~
2J12 AUG 24 AM II~ 34
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1684 EX AFP U2-lll
DATE 08-16-2012
ESTATE OF STEWART MARYANN
DATE OF DEATH 07-19-2011
FILE NUMBER 21 12-0036
COUNTY CUMBERLAND
SSN/DC 199-38-2983
ACN 11162273
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA, 17813
ORPFiaN'~ COURT
CUMBERLAND CO.. PA
PATRICIA S WUNbERLIN
32 BEACH FARM Rb
WORMLEYSBURG PA 17043-1135
CUT ALONG THIS LINE
REV-1604 EX AFP C12-1~)
*~ INHERITANC TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ^x
DATE: 08-16-2012
ESTATE OF: STEWART
COUNTY: CUMBERLAND
FILE NO.: 21 12-00361 S.S/D.C. N0.: 199-38-2983 ACV: 11162273
ADJUSTMENT BASED N: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUI~ION: MELLON BANK ACCOUNT N0.: 355259030
TYPE OF ACCOUNT: (X) SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 03-31-2003
Account Balance
Percent Taxable
Amount Subject to Ta
Debts and Deductions
Taxable Amaunt
Tax Rate
Tax Due
TAX CREDITS:
~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
MARYANN DATE OF DEATH: 07-19-2011
21,658.50
X 0.083
1,804.80
.00
1,804.80
X .045
81.22
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 RECE
NUM PT
ER DISCOUNT
INTEREST/PEN (+)
PAID (-) AMOUNT PAID
01-20-2012 CD015
it 87 .00 81.22
', TOTAL TAX PAYMENT 81.22
BALANCE OF 7AX DUE .00
INTEREST AND PEN. .00
~. TOTAL DUE
~ IF PAID AFTER THIS DAT E, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFiECTED AS A
"CREDIT" CCRJ. VOU MAY ~E DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
~~