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Home My WebLink About07-03-07 1 .. BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 BOBBETTE 826 ACRI RD MECHANICSBURG CUT ALONG THIS LINE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE rtECC~QED OFFI~~~~~~ I l~~~~T~:~T HEGS i l~!,~.1#~tJjELD OR TRUST ASSETS *' 2001 JUL -3 PM 12: 50 LARSON CLERK OF ORPHAN'S COURT CU~ /n'---.! ,',' '-'(\ o'~ i ~,-: L_ - - - , ~. :._,:. ; I, L. I . f I'"". REV-160~ EX AFP (03-05) DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN D6-27-2DD7 HAKE D2-D3-2DD7 21 D7-D151 CUMBERLAND 191-18-3999 D7113353 ELNORA E PA 17D5D 100 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17D13 --+ RETAIN LOWER PORTION FOR YOUR RECORDS +- -..---..-..---...-.-..---..-.-..-..-.-......-.-..-...-.-...-.-..-..-..--.....-......---.---....-......--..----..-..-----..- FILE NO. 21 D7-D151 ADJUSTMENT BASED ON: REV-1604 EX AFP (03-05) .. INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS .. DATE D6-27-2D07 ELNORA E DATE OF DEATH D2-03-2DD7 CUMBERLAND COUNTY S.S/D.C. NO. 191-18-3999 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: COMMERCE BANK ACN D7113353 ESTATE OF HAKE ACCOUNT NO. 513172536 TYPE OF ACCOUNT: () SAVINGS (X) CHECKING () TRUST () TIME CERTIFICATE DATE ESTABLISHED D9-D8-2D05 Account Balance Percent Taxable Amount Subject to Tax Debts, and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: PAYMENT DATE RECEIPT NUMBER X .DD D.50D .OD .00 .DO .45 .DO 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." X DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX CREDIT .DD BALANCE OF TAX DUE .00 INTEREST AND PEN. . DD J TOTAL DUE * IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN U. 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 *' .. I D TA E Rf:.I'0,pn'En nrCf('W r- - INHERITANCE TAX BUREAU OF NDIVI UAL X S <...,A./! ''-' i.) I .'ri ,i 1- ,k RECORD ADJ' 'U'STMENT INHERITANCE TAX DIVISION -,),- ,,' PO BOX 280601 !~}ill;J~NTL Y HELD OR TRUST ASSETS HARRISBURG PA 17128-0601 '1 ,[ L_' REV-1604 EX AFP (0~-05) 2007 JUl -3 PH I: 00 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 06-27-2007 HAKE 02-03-2007 21 07-0151 CUMBERLAND 191-18-3999 07112292 ELNORA E BOBBETTE 826 ACRI RD MECHANICSBURG CLERK OF r> OR~Ijf\N'S. COUFiT L'AiiW.,.',' \ I" ('~...' R'. -; . . ..r i. I~ Amount Remitted PA 17050-2232 00 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 06-27-2007 ESTATE OF HAKE ELNORA E DATE OF DEATH 02-03-2007 COUNTY CUMBERLAND FI L E NO. 21 07- 0151 ADJUSTMENT BASED ON: S.S/D~C. NO. 191-18-3999 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 07112292 FINANCIAL INSTITUTION: ClEARVIEW FCU ACCOUNT NO. 10278783 TYPE OF ACCOUNT: (X) SAVINGS () CHECKING () TRUST () TIME CERTIFICATE DATE ESTABLISHED 07-08-1997 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 nn ~ * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN tl, 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 ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 P:.(\('Dr~i[n r\':;:~ERITANCE TAX , :L.}'J II/L.U \,j! ~1!t{JJD ADJUSTMENT ~;t.G'~@~NJ.( ~(>."':l~~}..D OR TRUST ASSETS 2001 JUL -3 PH I: 00 BOBBETTE 826 ACRI RD MECHANICSBURG CLERK OF ORPHNrS COURT CUI'I""-'" ('-(" D.~ 'ii"::', . ;,,;, 11"1 LARSON PA 17050-2232 CUT ALONG THIS LINE REV-1604 EX AFP (03-05) DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 06-27-2007 HAKE 02-03-2007 21 07-0151 CUMBERLAND 191-18-3999 07112293 ELNORA E I~o Amount Remitted 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 06-27-2007 ESTATE OF HAKE ELNORA E DATE OF DEATH 02-03-2007 CUMBERLAND F I L E NO. 21 07- 0151 ADJUSTMENT BASED ON: COUNTY S.S/D.C. NO. 191-18-3999 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: CLEARVIEW FCU ACN 07112293 ACCOUNT NO. 10278783 TYPE OF ACCOUNT: () SAVINGS (X) CHECKING () TRUST () TIME CERTIFICATE DATE ESTABLISHED 07-08-1997 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: PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) 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." AMOUNT PAID 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 .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.) 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 Elnora E. Hake FILE NUMBER Eunice Baker ACN 2107-0151 07113353,07112292, 07112293 REVIEWED BY ITEM SCHEDULE NO. EXPLANATION OF CHANGES The above account has been adjusted to zero. The account was reported on the probate return. a ~o ""~::o ':J ""0 ilIa :: 4 F;=; """-::::0 .. ;,(1') :x: ">00 9-n '- :D ~o --j )> r-.> c::::l = ....... <- c: .- I W -0 :x ~.(") "y"-, r:r_'1 !~-tl >~2 \,.-j~.) ~'; ,:g fT"" ~::J C> --r \ --T') ,;:c.,'" r'~l .- o <::) ORIGINAL PaQe 1