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HomeMy WebLinkAbout09-01-06 . '* . (q,OMMONWEAL TH OF PENNSYLVANIA ~('{"., \,'. DEPARTMENT OF REVENUE l'",", (\~'\\\J"'. C' ",r...:-r:;(:) v\~ ,\\\, \~.j INHERITANCE TAX BUREAU OF INDIVIDUAL T A~\;,)\\,) (y \,.\. RECORD ADJUSTMENT ~~H:~~T~=~~OrAX DIVISION '," JOIICI'L Y HELD OR TRUST ASSETS HARRISBURG PA 171Z8-0601 \ ~~ '2.~ '(,,~ C\> '" DATE 1\\\\\\ ~~ ESTATE OF ('\ c~'f...~, ~ \n..'\.,~ DA TE OF DEATH 'V\J..i ~ v--J..\)\\ ff' FILE NUMBER ~~ N.\> OJ.. COUNTY BEVERLY J GEIGE~~~~' :~=/DC 940 STERLING CT ENOLA REV-1604 EX AFP (03-05) 08-24-2006 LINE 12-21-2005 21 06-0014 CUMBERLAND 204-03-5222 06118896 FLORENCE E Allount Rellitted PA 17025 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 ADJUSTMENT JOINTLY HELD OR TRUST ASSETS __ DATE 08-24-2006 ESTATE OF LINE FLORENCE E DATE OF DEATH 12-21-2005 COUNTY CUMBERLAND FILE NO. 21 06-0014 ADJUSTMENT BASED ON: S.S/D.C. NO. 204-03-5222 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 06118896 FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 75049-00 TYPE OF ACCOUNT: (X) SAVINGS () CHECKING () TRUST () TIME CERTIFICATE DATE ESTABLISHED 05-26-1961 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due .00 0.033 .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. ~ ( IF TOTAL DUE IS LESS THAN $I, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT.. (CR), 8 YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) - U REV-147~ EX,(6-88) . INHERIT ANC:i:(Y~EO OFFIO EXPLANATI~:.) 2: OF CHANGES 200G SEP -, PH ClERK OF OSffi}ND CO , Pi\ EXPLANATION OF CHANGES * COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME REVIEWED BY SCHEDULE ITEM NO. FLORENCE LINE PHYLLIS HOCH FILE NUMBER ACN 2106-0014 06118896 The above referenced ACN has been reduced to zero, as this account was reported on the probate return. Paqe 1 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ~ic:r.ORDED OFFICE OF INHERITANCE TAX . .. :." "-:.~,, r,- 1M\' .. (' RECORD ADJUSTMENT ~,\:JJ':) 1 rj-( \,S JD~tR'L Y HELD OR TRUST ASSETS . to. BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX Z80601 HARRISBURG PA 171Z8-0601 200b SEP -, PH 2: 25 CLERK OF ORPHAN'S COURT F v HOCK~}ND CO. PA 2313 LINDSAY LOT RD SHIPPENSBURG PA 17257 CUT ALONG THIS LINE REV-1604 EX AFP [03-05) DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 08-24-2006 LINE 12-21-2005 21 06-0014 CUMBERLAND 204-03-5222 06118886 Allount Rellitted FLORENCE E MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 --+ RETAIN LOWER PORTION FOR YOUR RECORDS +- ----------------------------------------------------------------------------------------------------------------------------------------------------------------- REV-1604 EX AFP (03-05) -- INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS __ DATE 08-24-2006 ESTATE OF LINE CUMBERLAND FLORENCE E DATE OF DEATH 12-21-2005 FILE NO. 21 06-0014 ADJUSTMENT BASED ON: COUNTY S.S/D.C. NO. 204-03-5222 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACN 06118886 ACCOUNT NO. 75049-40 TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE DATE ESTABLISHED 03-12-1990 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due .00 0.033 .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 (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE on . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. C .. .. ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) I 1/ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIYISION PO BOX ZB0601 HARRISBURG PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ~.. I '. ~I. (V' RECO . '.. . _ ut JOINTL Y HE~OJ Itc JW5r/IL'l~)SETS .. REY-1604 EX AFP (03-05) F V HOCKENBERRY 2313 LINDSAY LOT RD SHIPPENSBURG PA 17257 1006 SEP ~~~1,4 31=25 DATE OF DEATH , CL NUMBER OR ~ T CUMBERL '..HJ, PA I 08-24-2006 LINE 12-21-2005 21 06-0014 CUMBERLAND 204-03-5222 06118895 Allount Rellitted FLORENCE E 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 ADJUSTMENT JOINTLY HELD OR TRUST ASSETS __ DATE 08-24-2006 ESTATE OF LINE FLORENCE E DATE OF DEATH 12-21-2005 COUNTY CUMBERLAND FILE NO. 21 06-0014 ADJUSTMENT BASED ON: S.S/D.C. NO. 204-03-5222 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 06118895 FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 75049-00 TYPE OF ACCOUNT: (X) SAVINGS () CHECKING () TRUST () TIME CERTIFICATE DATE ESTABLISHED 05-26-1961 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due .00 0.033 .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. ( IF TOTAL DUE IS LESS THAN $I, NO PAYI1ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ, YOU I1AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORI1 FOR INSTRUCTIONS.J Cib REV.''''" EX (6-88).., * INHERITANCE TJsiX{\;~('!rn n .~l!rr: I~'r: .'...:1-'........, \/ j Vl. I....A ;,i~.l"T~7 i""'i"j r: \' J1; I (, EXPLANATION ,!.'\:;:u,.;j~ \.'. iill,;...) OF CHANG;M16 SEP -I 111 2: 2S COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME FLORENCE LINE I'\nnS~~~ 9f, ,,,_ , .. u ,oJ....."",,,,,. II CUM8ERLPND Co.. PA FILE NUMBER PHYLLIS HOCH ACN 2106-0014 06118886,06118895 REVIEWED BY SCHEDULE ITEM NO. EXPLANATION OF CHANGES The above referenced ACN has been reduced to zero, as this account was reported on the probate return. Paqe 1 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX Z80601 HARRISBURG PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE :'-rv\-r':, ~!!e~TA'NCE TAX .1~'l~:~;rct~l-1rRJUTSRTUMSETN~SSETS . REV-1604 EX AFP (03-05) lUTHER RIOlE DR MECHANICSBURG o MURPHY JR 2006 SEP -I PH 2: ~~~TE OF DATE OF DEATH CLERK OF FILE NUMBER ORPHAN'S COURT ~~~~~~ CUMBERLAND CO. PAACN 08-24-2006 LINE 12-21-2005 21 06-0014 CUMBERLAND 204-03-5222 06118894 Allount Rellitted FLORENCE E PA 17050 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 ADJUSTMENT JOINTLY HELD OR TRUST ASSETS __ DATE 08-24-2006 ESTATE OF LINE FLORENCE E DATE OF DEATH 12-21-2005 COUNTY CUMBERLAND FILE NO. 21 06-0014 ADJUSTMENT BASED ON: S.S/D.C. NO. 204-03-5222 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 06118894 FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 75049-00 TYPE OF ACCOUNT: (X) SAVINGS () CHECKING () TRUST () TIME CERTIFICATE DATE ESTABLISHED 05-26-1961 TOTAL TAX CREDIT .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 LESS THAN $I, .NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) REV-1470 EX (6-88) . * COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME FLORENCE LINE PHYLLIS HOCH INHE~IT~g ~E ( '. "I'<<"rl~i \. n' EXP~!f!I!':!:.~ \,',1,; OF CHANGES Z006 SEP - I PH 2: 25, CLERK OF Uhn 1nI~ "" f:f 1I1HI rliMBERLAND CO.. PA EXPLANATION OF CHANGES FILE NUMBER REVIEWED BY ACN 2106-0014 0611885,06118894 SCHEDULE ITEM NO. The above referenced ACN has been reduced to zero, as this account was reported on the probate return. Pa~e 1 ~O~ONWEALTH OF PENNSYLVANIA . \1 0\:r\Ct UIIJEPARTMENT OF REVENUE ,~'I"('\r.f(\J Ij ". "Ii \ C; BUREAU OF INDIVIDUAL TAXES \-'t\<~;~~rc \,Y \N\\. ,; INHERITANCE TAX INHERITANCE TAX DIVISIDN :'},.\ ".' \ t). ~ RECORD ADJUSTMENT PO BOX Z80601 1.'..._'" JOINl,k-Y HELD OR TRUST ASSETS HARRISBURG PA 17lZ8-0601 ~\'\ '2.~ l.. "J 1~~9 St.~ - \ C\f~~ ~U~\ ~ OO~~\D CO.. ? LUTHER MURPH~\)~~' 1002 ORIOLE DR MECHANICSBURG PA 17050 CUT ALONG THIS LINE . REV-1604 EX AFP (03-05) DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 08-24-2006 LINE 12-21-2005 21 06-0014 CUMBERLAND 204-03-5222 06118885 FlORENCE E Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 --+ RETAIN LOWER PORTION FOR YOUR RECORDS +- -------------------------------------------------------------------------------------------------------------------------------------------------------------- REV-1604 EX AFPC03-0Sl -- INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS __ DATE 08-24-2006 ESTATE OF LINE CUMBERLAND FLORENCE E DATE OF DEATH 12-21-2005 FILE NO. 21 06-0014 ADJUSTMENT BASED ON: COUNTY S.S/D.C. NO. 204-03-5222 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACN 06118885 ACCOUNT NO. 75049-40 TYPE OF ACCOUNT: () SAVINGS C) CHECKING () TRUST (X) TIME CERTIFICATE DATE ESTABLISHED 03-12-1990 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due .00 0.033 .00 .00 .00 .45 .00 TAX CREDITS: NOTE: TO INSURE PROPER CREDIT TO YOUR ~CCOUNT, 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. II 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 nn · IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .y'U..... ( IF TOTAL DUE IS LESS THAN $I, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), . YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) , .. BUlf~W' OF INDIVIDUAL TAXES , INHt'fITANCE TAX DIVISION PO BtlX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE c=0nG~-t'D.~TANCE TAX I '.~.v.\j!r\U_1$ . ,Co. JUSTMENT t~~):N1t1I-v;JtS '..lfR TRUST ASSETS REV-1604 EX AFP (03-05) HARRY ELINE 100 FLINSTONE DR NEWVILLE 2006 SEP -I PH 2: ~~:TE OF DATE OF DEATH CLERK OF FILE NUMBER ORPHAN'S COURT COUNTY ! SSNI'DC CUMBERLAND CO. PAACN 08-24-2006 LINE 12-21-2005 21 06-0014 CUMBERLAND 204-03-5222 06118891 Allount Rellitted FLORENCE E PA 17241 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 ADJUSTMENT JOINTLY HELD OR TRUST ASSETS __ DATE 08-24-2006 ESTATE OF LINE FLORENCE E DATE OF DEATH 12-21-2005 COUNTY CUMBERLAND FILE NO. 21 06-0014 ADJUSTMENT BASED ON: S.S/D.C. NO. 204-03-5222 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 06118891 FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 75049-42 TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE DATE ESTABLISHED 04-26-1997 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due .00 0.166 .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. ~ ( IF TOTAL DUE IS LESS THAN $I, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS.) REV.1470 EX 16-88,1 , ill * INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME FLORENCE LINE FILE NUMBER PHYLLIS HOCH ACN 2106-0014 06118884,89,90,91 REVIEWED BY SCHEDULE ITEM NO. EXPLANATION OF CHANGES The above referenced ACN has been reduced to zero, as this account was reported on the probate return. PaQe 1 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ('"v- ,....~. q:\r)pJ',r-D GFFIL,t XHHERITANCE TAX , "7:;:_\~'/~~;:r ~~ '1~E~ORD ADJUSTMENT -tt::'\j:)!t;'iJw.tfJI1Y-HELD OR TRUST ASSETS · . 'BU~EAU'OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX Z80601 HARRISBURG PA 171Z8-0601 HARRY ELINE 100 FLINSTONE DR NEWVILLE 2006 SEP -I PH 2: 24 CLERK OF ORPHAN'S COURT CUMBERVND CO.. PA PA 17241 CUT ALONG THIS LINE REV-1604 EX AFP (03-05) DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 08-24-2006 LINE 12-21-2005 21 06-0014 CUMBERLAND 204-03-5222 06118890 Allount Rellitted FLORENCE E MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 --+ RETAIN LOWER PORTION FOR YOUR RECORDS +- ----------------------------------------------------------------------------------------------------------------------------------------------------------- REV-1604 EX AFP (03-05) -- INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS __ DATE 08-24-2006 ESTATE OF LINE CUMBERLAND FLORENCE E DATE OF DEATH 12-21-2005 FILE NO. 21 06-0014 ADJUSTMENT BASED ON: COUNTY S.S/D.C. NO. 204-03-5222 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACN 06118890 ACCOUNT NO. 75049-41 TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE DATE ESTABLISHED 12-17-1994 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 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: IIREGISTER OF WILLS, AGENT.II 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 DO If IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.J >' BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX Z806Dl HARRISBURG PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE Rrr'n~.r;l:Lf.4Q'.;. ~ll ~..n. ." """.J&ftIl~.,j!r.. II. /cl'AX ::r~~lA . .$TMENT JOI~tL-'{i WJtt 0 !.. TRUST ASSETS '* REV-1604 EX AFP (03-05) MARTINA WOLFINGER 2 HAZELWOOD PATH MECHANICSBURG PA 17050 2006 SEP - I PH :t:~~ OF DATE OF DEATH OR CLERK OF FILE NUMBER PIi.AN'S COU~~NTY CUMBERLAND Co.Affll'DC I 08-24-2006 LINE 12-21-2005 21 06-0014 CUMBERLAND 204-03-5222 06118892 Allount Rellitted FLORENCE E 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 ADJUSTMENT JOINTLY HELD OR TRUST ASSETS __ DATE 08-24-2006 ESTATE OF LINE FLORENCE E DATE OF DEATH 12-21-2005 COUNTY CUMBERLAND FILE NO. 21 06-0014 ADJUSTMENT BASED ON: S.S/D.C. NO. 204-03-5222 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 06118892 FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 75049-42 TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE DATE ESTABLISHED 04-26-1997 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due .00 0.166 .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. I' 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 nn · IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. C6' ( IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE nr0nP,l~~I~~C~E~ITANCE TAX fI;'-::'~,~.:;:.:! ~:~, . ADJUSTMENT i'ii!Jl~D~r(rL ,jtL D OR TRUST ASSETS " BURE~ OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX Z80601 HARRISBURG PA 171Z8-0601 2006 SEP - J PH 2: 2 , CLERK OF ORPHAN'S COURT MARTINA WOLFINGERCUMBERLAND Co., PA 2 HAZELWOOD PATH MECHANICSBURG PA 17050 CUT ALONG THIS LINE *' REV-1604 EX AFP (03-05) DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 08-24-2006 LINE 12-21-2005 21 06-0014 CUMBERLAND 204-03-5222 06118888 Allount Rellitted FlORENCE E MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 --+ RETAIN LOWER PORTION FOR YOUR RECORDS +- -------------------------------------------------------------------------------------------------------------------------------------------------------------- REV-1604 EX AFP (03-05) -- INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS __ DATE 08-24-2006 ESTATE OF LINE CUMBERLAND FLORENCE E DATE OF DEATH 12-21-2005 FILE NO. 21 06-0014 ADJUSTMENT BASED ON: COUNTY S.S/D.C. NO. 204-03-5222 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACN 06118888 ACCOUNT NO. 75049-40 TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE DATE ESTABLISHED 03-12-1990 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due .00 0.033 .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 (-) 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. 06" ( IF TOTAL DUE IS LESS THAN $I, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE r;f:r~Of1DEn OfFICE (l!%NHERITANCE TAX . '-'" ,,-,...;:. ",~,.. .RECORD ADJUSTMENT . . tii l"",'iMT~Y HELD OR TRUST ASSETS .' . fUR~U OF INDIVIDUAL TAXES INHERItANCE TAX DIVISION PO BOX Z806Dl HARRISBURG PA 171Z8-0601 2006 SEP -I PH 2: 22 CLERK OF ORPHAN'S COURT MARTINA WOLFIUBERLANO CO, PA 2 HAZElWOOD PATH MECHANICSBURG PA 17050 CUT ALONG THIS LINE *' REV-1604 EX AFP (03-05) DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSNI'DC ACN 08-24-2006 LINE 12-21-2005 21 06-0014 CUMBERLAND 204-03-5222 06118897 Allount Relli tted flORENCE E MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 --+ RETAIN LOWER PORTION FOR YOUR RECORDS +- ----------------------------------------------------------------------------------------------------------------------------------------------------------- REV-1604 EX AFP (03-05) -- INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS __ DATE 08-24-2006 ESTATE OF LINE CUMBERLAND FLORENCE E DATE OF DEATH 12-21-2005 FILE NO. 21 06-0014 ADJUSTMENT BASED ON: COUNTY S.S/D.C. NO. 204-03-5222 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACN 06118897 ACCOUNT NO. 75049-00 TYPE OF ACCOUNT: (X) SAVINGS () CHECKING () TRUST () TIME CERTIFICATE DATE ESTABLISHED 05-26-1961 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due .00 0.033 .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 (-) 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. .::trl ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) REV.1470 EX (6-88) , .. * SCCOR.ctt\lJf!~tA~CE TAX , . .F~LG\::[tr&~'r1l4NA TION COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE 2006 SEP - l O~tf~:AlfES BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME CLE~~ 9f. .nT FILE NUMBER FLORENCE LINE 2106-0014 REVIEWED BY vnrl n'f \) '" ACN PHYLLIS HOCH CUMBERLAND CO., PA 06118888,92,97 SCHEDULE ITEM EXPLANATION OF CHANGES NO. The above referenced ACN has been reduced to zero, as this account was reported on the probate return. Paqe 1 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE "',r-r-'r,e r\F INHERITANCE TAX p.~CO?Dt.D Urtilv~- \;:'RECORD ADJUSTMENT , 1-;';("::-:<:0 r:Q~,~t':tJ. Y HELD OR TRUST ASSETS \"';,L\j\..... ~ L,.'. i...." , ,BUR[AU'OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 HARRY ELINE 100 FLINSTONE DR NEWVILLE 20n~ SEP - \ P~ 2: 22 ClE~ 8buRi C~t\l\\D CO. PA PA 17241 CUT ALONG THIS LINE . REV-1604 EX AFP [03-05) DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSNI'DC ACN 08-24-2006 LINE 12-21-2005 21 06-0014 CUMBERLAND 204-03-5222 06118884 Allount Rellitted FLORENCE E MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 --+ RETAIN LOWER PORTION FOR YOUR RECORDS 4- ------------------------------------------------------------------------------------------------------------------------------------------------------------ REV-1604 EX AFP (03-05) -- INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS __ DATE 08-24-2006 ESTATE OF LINE CUMBERLAND FLORENCE E DATE OF DEATH 12-21-2005 FILE NO. 21 06-0014 ADJUSTMENT BASED ON: COUNTY S.S/D.C. NO. 204-03-5222 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACN 06118884 ACCOUNT NO. 75049-00 TYPE OF ACCOUNT: (X) SAVINGS () CHECKING () TRUST () TIME CERTIFICATE DATE ESTABLISHED 05-26-1961 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due .00 0.033 .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 (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE 00 1'. lIE IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. I " ( IF TOTAL DUE IS LESS THAN $I, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), --tJ YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) \J HARRY ELINE 100 FLINSTONE DR NEWVILLE COMMONWEALTH OF PENNSYLVANIA ~:('r,ry..J~~p~M~,E~ OF REVENUE h_'j,::,'r.,:~,~~ \J~~~R:(:rANCE TAX :~~ifR~~HaJtIJDA:RJUTSRTU"s\N~SSETS 2006 SEP -I PM 2: 2~ATE ESTATE OF CLERK OF DA TE OF DEATH ORPHAN'S COURT ~~~:T~UMBER CUMBERLAND Co.. PA SSN/DC ACN '* ,BUREAU'OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX Z80601 HARRISBURG PA 171Z8-0601 REV-1604 EX AFP (03-05) PA 17241 08-24-2006 LINE 12-21-2005 21 06-0014 CUMBERLAND 204-03-5222 06118889 Allount R_itted FLORENCE E 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 ADJUSTMENT JOINTLY HELD OR TRUST ASSETS __ DATE 08-24-2006 ESTATE OF LINE FLORENCE E DATE OF DEATH 12-21-2005 COUNTY CUMBERLAND FILE NO. 21 06-0014 ADJUSTMENT BASED ON: S.S/D.C. NO. 204-03-5222 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 06118889 FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO, 75049-40 TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE DATE ESTABLISHED 03-12-1990 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due .00 0.033 .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. '~' ( IF TOTAL DUE IS LESS THAN $I, NO PAYI1ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU I1AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORI1 FOR INSTRUCTIONS.)