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Home My WebLink About06-29-07 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE · nr-('fV1nEr\ 0.FFj/'\c ^~ lit,j\.,""\) .) V .. l,:... I"," INHERITANCE TAX B~REAU OF INDIVI~UAL TAXE.~'" " '~.:::~ 11,lii ~ RECORD ADJUSTMENT ~~H:~~T~=~~oIAX OIVI ION ,'....;,J _'I ., ---'JOINTLY HELD OR TRUST ASSETS HARRISBURG PA 17128-0601 *' REV-1604 EX AFP (03-05) ZOOl JUN 29 PH I: 03 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 07111266 ELNORA E CLERK OF ORPHAN'S COURT BOBETTE Cf.~~~[~ .,'] , p,t, 826 ACRI RD MECHANICSBURG PA 17050 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONS 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 07111266 FINANCIAL INSTITUTION: Bnco 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 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: "RESISTER OF WILLS, ASENT." 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. q' ( 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 DC(''(iRr11'""f'\ ~~TANCE TAX I L_vv: ,-'r..lj IUreQJtP\_*DJUSTMENT Rf=8IJ'lfl~l4Y::' ..,~o-. OR TRUST ASSETS .'.J, '...,;, '-', ,,'"- ,.........1 '* , . BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 2007 JUN 29 PH LARSON CLERK OF QR,PtlAN'S COURT CU:\:~, r:!, t~:r:, 8" BOBBETTE 826 ACRI RD MECHANICS BURG PA 17050-2232 REV-1604 EX AFP (03-05) DATE I: 03ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 06-27-2007 HAKE 02-03-2007 21 07-0151 CUMBERLAND 191-18-3999 07112294 ELNORA 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 ~ --..---.-----------------------------------------------------------------------.---------------.--------..------------.---...------- REV-1604 EX AFP (03-05J __ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS -- DATE 06-27-2007 ESTATE OF HAKE EL NORA E DATE OF DEATH 02-03-2007 COUNTY CUMBERLAND ACN 07112294 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: 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 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. Cb ( 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 *' LARSON er0~NHERITANCE TAX ;tt/\ ~I~US'[MENT JOI~!:~i~~~i C~.i(m~~RUST ASSETS DATE 2007 JUN 29 PM ~SI~TE OF /JiN18 OF DEATH FILE NUMBER CLERK OF COUNTY ORp~AN'S 00UR,SSN/DC CUH.g:-:; /'I"~ IACN · ' '/. P4 , . t, REV-1604 EX AFP (03-05) BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRIS8URG PA 17128-0601 BOBBETTE 826 ACRI RD MECHANICSBURG 06-27-2007 HAKE 02-03-2007 21 07-0151 CUMBERLAND 191-18-3999 07112295 EL NORA E Amount Remitted PA 17050-2232 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. 10278783 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 (+) 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. Co ( 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.) LARSON COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE p;:enRrv-1"'\ - , ::-'-'Ij JUtl) fAijRtJl;T:ANCE . TAX L~)t-f:;'C'TI>".,R,.eC~AA ,'ADJUSTMENT , "joIN-il Vi; H.EIi.l>:,OR TRUST ASSETS Z001 JUH 29 PH ,. O...DATE . JESTATE OF DATE OF DEATH CLERK OF FILE NUMBER CU9~e~N'.S.~Q~RT ~~~~~~ - , . . I ' \, PA ACN *' , , BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 2B0601 HARRISBURG PA 1712B-0601 REV-1604 EX AFP (03-05) BOBBETTE 826 ACRI RD MECHANICSBURG 06-27-2007 HAKE 02-03-2007 21 07-0151 CUMBERLAND 191-18-3999 07113352 ELNORA E Amount Remitted 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 06-27-2007 ESTATE OF HAKE ELNORA E DATE OF DEATH 02-03-2007 COUNTY CUMBERLAND F I 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 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 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 no * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. Y ( 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 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OF CHANGES BUREAU OF INDIVIDUAL TAXES PO Box. 260601 HARRISBURG PA 17126-0601 DECEDENT'S NAME FILE NUMBER Elnora E. Hake 2107-0151 REVIEWED BY ACN Eunice Baker 07111266,07112294, 07112295,07113352 ITEM SCHEDULE NO. EXPLANATION OF CHANGES The above account has been adjusted to zero. The account was reported on the probate return. ROW Paqe 1