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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
INHERITANCE TAX
p~~+ ~ ADJUSTMENT
Pi V~~~ti~~~1~ ~fI~D OR TRUST ASSETS
LOI2 SEP 24 PM I ~ 35
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BARBARA E BOYD ~~R~~ ~" ~`
435 IVY TRAILS DR
CINCINNATI OH 45244-2129
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DEPARTMENT OF R~
REV-1604 EX AFP (1~
DATE 09-18-2012
ESTATE OF EDMUNDS LAURA
DATE OF DEATH 08-31-2011
FILE NUMBER 21 11-1156
COUNTY CUMBERLAND
SSN/DC
ACN 11166510
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 F-
REV-1604 EX AFP C12-11~
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ~*
DATE: 09-18-2012
ESTATE OF: EDMUNDS LAURA 0 DATE OF DEATH: 08-31-2011 COUNTY: CUMBERLAND
FILE NO.: 21 11-1156 S.S/D.C. N0.: ACN: 11166510
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: BELCO COMMUNITY CREDIT UNION ACCOUNT NO.: 123510
TYPE OF ACCOUNT: ( ) SAVINGS C 3 CHECKING CX) TRUST C ~ TIME CERTIFICATE
DATE ESTABLISHED 07-27-2011
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00 NOTE:
X 0.500
.00
.00
.00
X .045
.00
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 (-) 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.
~ Pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
goo PO Box 280801
Laura O Edmunds
Robin Graff
SCHEDULE I ITEM
NO.
INHERITANCE TAX
EXPLANATION
OF CHANGES
EXPLgNgrION OF CHANGES
2111-1156
11166510
A review has been conducted on this account. Th
joint bank account was a De a
assessment has been corrected. reported on the probate re u~nt has determined that this
Therefore, this
ROW
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