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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
RECORD.AD~USTMENT
~OIKtiy 'r~LD OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
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WAYNE S GAMMON
2929 TORREYA WAY
MARIETTA GA 30067
REV-1604 EX AFP (03-05)
DATE
,?: n 'J:STATE OF
,. 'iJA TE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
05-01-2006
HARRO
12-11-2004
21 05-0084
CUMBERLAND
188-09-5937
05117971
Amount Remitted
G
MALCOLM
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE
--+ RETAIN LOWER PORTION FOR YOUR RECORDS
+-
REV-1604 EX AFP (03-05)
__ INHERITANCE TAX RECORD AD~USTMENT JOINTLY HELD OR TRUST ASSETS --
DATE 05-01-2006
ESTATE OF HARRO
MALCOLM
CUMBERLAND
G DATE OF DEATH 12-11-2004
COUNTY
ACN
05117971
FILE NO. 21 05-0084
ADJUSTMENT BASED ON:
S.S/D.C. NO. 188-09-5937
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU
ACCOUNT NO.
018809593754
TYPE OF ACCOUNT: () SAVINGS (X) CHECKING ( ) TRUST () TIME CERTIFICATE
DATE ESTABLISHED 01-22-1993
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
.00
0.250
.00
.00
.00
.45
.00
TAX CREDITS:
NOTE: TO INSURE 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."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
06-07-2005 CD005418 .00 9.52
05-01-2006 REFUND .00 9.52-
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE nn
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT"" (CR),
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
REV-1470 EX (6-88)
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME
FILE NUMBER
MALCOLM G HARRO
REVIEWED BY
ACN
2105-0084
05117971
Dianne McClain
ITEM
SCHEDULE NO.
EXPLANATION OF CHANGES
The above referenced Account Control Number has been adjusted to zero since the joint
bank account was reported on the Inheritance Tax Return.
ROW
Paqe 1