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BUREAU OF INDIVIDUAL TAXES
I"~'';;:RIT AIiIa: TAX DIVISION
PO BOX Z80601
HARRISBURG PA 171Z8-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
_RECORD ADJUSTMENT
JOINT.LV HEL"1t GR. TRUST ASSETS
REV-1604 EX AFP (03-05)
LLOYD E SHOEMAKER JR
91 RIDGE RD
NEWVILLE PA 17241
DATE
ESTATE OF
DATE OF DEATH
FILE 'NUMBER
COUNTY
SSN/DC
ACN
05-18-2006
SHOEMAKER
03-14-2005
21 05-0810
CUMBERLAND
183-12-2024
05139144
LLOYD
E
Amount Remitted
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
4-
---------------------------..------------------------------------..-..------------------------..--------------..----------------------------------------------..--------
REV-l&04 EX AFP (03-05)
__ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS --
DATE 05-18-2006
ESTATE OF SHOEMAKER
LLOYD
E DATE OF DEATH 03-14-2005
COUNTY
CUMBERLAND
FILE NO. 21 05-0810
ADJUSTMENT BASED ON:
S.S/D.C. NO. 183-12-2024
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
ACN
05139144
FINANCIAL INSTITUTION: FARMERS NATIONAL BANK
ACCOUNT NO.
12-979-8
TYPE OF ACCOUNT: () SAVINGS (X) CHECKING () TRUST () TIME CERTIFICATE
DATE ESTABLISHED 03-07-1985
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
.00
0.500
.00
.00
.00
.45
.00
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."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE ,00
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. "1 .
( IF TOTAL DUE IS LESS THAN $I, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), '. V
YOU MAY 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
DEPT. 280601
HARRISBURG PA 17128-0601
DECEDENTS NAME
LLoyd E. Shoemaker
FILE NUMBER
REVIEWED BY
Colin O'Malley
ACN
2105-0810
05139144
ITEM
SCHEDULE NO.
EXPLANATION OF CHANGES
The above account has been removed as it was already reported on the probate return.
ROW
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