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Home My WebLink About07-03-07 (2) , .BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 11128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE RECORDED GWil6{i:6'ANCE TAX t";:~:C'Tr::Q~(l.~Q (ADJUSTMENT fh-.)()1N1'LY H'ElbJOR TRUST ASSETS *' REV-1604 EX AFP (03-05) 2007 JUL -3 PM 12: 50JATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN LARSON CLERK OF ORPHAN'S COURT cU~v'rn:': .''11 P!\ BOBETTE 826 ACRI RD MECHANICSBURG PA 17050 06-27-2007 HAKE 02-03-2007 21 07-0151 CUMBERLAND 191-18-3999 07111266 E ELNORA Amount Remitted 00 MAKE CHECK PAYABLE AND REMIT PAYMENT REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 TO: CUT ALONS THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +- .-.-.-....---..-------..-.--..-......---...-..---.---...--.....-......-..-......-..---.---...--.....---.--....---...--..-......-.... REV-l'04 EX AFP (03-05) __ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS -- DATE 06-27-2007 ESTATE OF HAKE ELNORA COUNTY CUMBERLAND E DATE OF DEATH 02-03-2007 ACN 07111266 FILE NO. 21 07-0151 ADJUSTMENT BASED ON: S.S/D.C. NO. 191-18-3999 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: BELCO COMMUNITY CU ACCOUNT NO. 851768 TYPE OF ACCOUNT: (X) SAVINGS () CHECKING () TRUST () TIME CERTIFICATE DATE ESTABLISHED 09-13-2005 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount T~x 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 RESISTER OF WILLS AT THE ADDRESS SHOWN ABOVE. MAKE CHECK OR MONEY ORDER PAYABLE TO: "RESISTER OF WILLS, ASENT." 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 *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.) tIt- ~ . BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 28060 1 HARRISBURG PA 17128-0'01 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE !~I:cr,p-nAl~t~G.E TAX .:. '';;'R:e~Rfi! iWUSTMENT J01iNj1t;fLi~E~~bV:.~R_'-:TRUST ASSETS '* REV-l'O~ EX AFP (03-05) BOBBETTE 826 ACRI RD MECHANICSBURG LARSON 2007 JUL -3 PM '2~mTE OF DATE OF DEATH CLERK OF FILE NUMBER O~P~AN'S COURT~~~~~~ cU~/rJ~ '! 'f"f:, ~N 06-27-2007 HAKE 02-03-2007 21 07-0151 CUMBERLAND 191-18-3999 07112294 ELNORA E PA 17050-2232 I~ 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 +- 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 FILE NO. 21 07- 0151 ADJUSTMENT BASED ON: S.S/D.C. NO. 191-18-3999 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 07112294 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 00 * 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.) . BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE 'r-;:('l'jRI-;l!Of!![~.E TAX "';'~'_I ;~I,ut1l Oi I JUSTMENT JamtJjtiyt~ ;n\\)!.S;TRUST ASSETS '* REV-1604 EX AFP (03-05) PA 17050-2232 2007 JUL -3 PM 12~mTE OF DATE OF DEATH CLERK OF FILE NUMBER ORPHAN'S COURfOUNTY cu~)rr'""..' n'l.. ~U~N/DC 1,1.. '.' ........ ~N I()C) 06-27-2007 HAKE 02-03-2007 21 07-0151 CUMBERLAND 191-18-3999 07112295 ELNORA E BOBBETTE 826 ACRI RD MECHANICSBURG LARSON 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 +- -.----------......-.-..-.-..-.........-..--...-......-......-..--...-------.--..----...-..-...-.-.--....--..-.--..- 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 FILE NO. 21 07-0151 ADJUSTMENT BASED ON: S.S/D.C. NO. 191-18-3999 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 07112295 FINANCIAL INSTITUTION: CLEARVIEW FCU ACCOUNT NO. 10278183 TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) 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 (+) AHOUNTPAID 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 H, 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.> ; '..,. N........ , BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 2B0601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE fi~c(JRDEClij'~[~~NCE TAX q:-(~IC"-; qtECOIW' !t:.DJ USTMENT 'Jrl1Nft!Y~HE'({IL-OR TRUST ASSETS *' REV-1604 EX AFP (03-05) BOBBETTE 826 ACRI RD MECHANICSBURG LARSON 2007 JUL - 3 PH 12: hlll'TE -€STATE OF DATE OF DEATH CLERK OF FILE NUMBER ORPtiAN/S COURT COUNTY CUM[:r~1 f; '~n D~ SSN/DC - " i I... ACN 06-27-2007 HAKE 02-03-2007 21 07-0151 CUMBERLAND 191-18-3999 07113352 EL NORA E PA 17050 I &C) 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 ~ -.-------.-----.-.--.----.-.....---.....---..-..-..........-......-..-......-......-..-..-.-...-..-...-..-...-..-.-....- 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 FILE NO. 21 07-0151 ADJUSTMENT BASED ON: S.S/D.C. NO. 191-18-3999 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 07113352 FINANCIAL INSTITUTION: COMMERCE BANK ACCOUNT NO. 616119534 TYPE OF ACCOUNT: (X) SAVINGS () CHECKING () TRUST () TIME CERTIFICATE DATE ESTABLISHED 09-08-2005 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 RESISTER 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 *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 FILE NUMBER Elnora E. Hake REVIEWED BY ACN 2107-0151 07111266,07112294, 07112295,07113352 Eunice Baker ITEM SCHEDULE NO. EXPLANATION OF CHANGES The above account has been adjusted to zero. The account was reported on the probate return. o C;:O :h;g ~<::r:O ll'''-'Fn ~.-7 ..:JJ (J);:;:;:: 00 . ,0/1 :. ')C:: ,-' ::0 .TJ......-l )> ORIGINAL ,..." c:;::) c:;::) ~ c- c:: r- t (,.r.) -0 :% is> c.n \0 _0 -nnl fT\ I~.) t~~3 r-n n, -:T1 \:::J C) C) ...)-i':~ (~5 r'n Paqe 1