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Home My WebLink About03-10-08 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE --,lin\E1UTANCE TAX } REC-ORD ADJ USTMENT J.OINTLY HELD OR TRUST ASSETS BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 " ~ , i. I C 10 r; t-~ i j i . MADISON A WAGNER 13 HOMESTEAD LN CAMP HILL PA 17011 REV-1604 EX AFP (03-05) r. ? -DATE ,~: '- IESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 03-03-2008 POWELL 08-12-2006 21 06-0730 CUMBERLAND 174-20-6085 06152634 JEAN D 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 03-03-2008 ESTATE OF POWELL JEAN D DATE OF DEATH 08-12-2006 COUNTY CUMBERLAND ACN 06152634 ADJUSTMENT BASED ON: S.S/D.C. NO. 174-20-6085 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FILE NO. 21 06-0730 FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 261573-61 TYPE OF ACCOUNT: () SAVINGS () CHECKING (X) TRUST () TIME CERTIFICATE DATE ESTABLISHED 03-16-2005 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due .00 1.000 .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 DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) 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. Ss ( 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 . . INiHERITANCE TAX RECORD ADJUSTMENT JOINTLY ~ElD OR TRUST ASSETS '* BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX OIVISION PO BOX 280601 HARRISBURG PA 17128-0601 L" >~;~:,R i 0 F' . , . . MADISON A WAGNER 13 HOMESTEAD LN CAMP HILL ("'\i lJ """'11' " PA 17011 REV-1604 EX AFP (03-05) 2: 28DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 03-03-2008 POWELL 08-12-2006 21 06-0730 CUMBERLAND 174-20-6085 06152635 JEAN D 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 03-03-2008 COUNTY CUMBERLAND ESTATE OF POWELL JEAN D DATE OF DEATH 08-12-2006 ACN 06152635 ADJUSTMENT BASED ON: S.S/D.C. NO. 174-20-6085 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FILE NO. 21 06-0730 FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 261573-54 TYPE OF ACCOUNT: () SAVINGS () CHECKING (X) TRUST () TIME CERTIFICATE DATE ESTABLISHED 03-16-2005 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions - Taxable Amount Tax Rate X Tax Due .00 1.000 .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 DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. 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" YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) .00 .00 .00 .00 (CR), (\ ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 2B0601 HARRISBURG PA 1712B-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ,-,INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS * REV-1604 EX AFP (03-05) r; i. ~.:l .. ~ ~ l ; !.",j"\ ~ L C'.": i : i DATE 2: 2~TATE OF DATE OF DEATH FILE NUMBER COUNTY 1--'''' SSN/DC ACN 03-03-2008 POWELL 08-12-2006 21 06-0730 CUMBERLAND 174-20-6085 06152636 JEAN D "-..........,, " j : ..- ..~ \..,/. MADISON A WAGNER AI ~l 13 HOMESTEAD LN CAMP HILL PA 17011 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 03-03-2008 ESTATE OF POWELL JEAN D DATE OF DEATH 08-12-2006 COUNTY CUMBERLAND FILE NO. 21 06-0730 ADJUSTMENT BASED ON: S.S/D.C. NO. 174-20-6085 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 06152636 FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 261573-46 TYPE OF ACCOUNT: () SAVINGS () CHECKING (X) TRUST () TIME CERTIFICATE DATE ESTABLISHED 06-05-2006 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions - Taxable Amount Tax Rate X Tax Due .00 1. 000 .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 DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT 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. Ss ( IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ, 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 INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS *' REV-1604 EX AFP (03-05) "J :-~; fiR ! D Fii ~~~E OF DATE OF DEATH FILE NUMBER COUNTY , JS-SN/DC ACN 03-03-2008 P OWEL L 08-12-2006 21 06-0730 CUMBERLAND 174-20-6085 06152637 JEAN D MADISON A WAGNER 13 HOMESTEAD LN CAMP HILL PA 17011 ~! 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 03-03-2008 ESTATE OF POWELL JEAN D DATE OF DEATH 08-12-2006 COUNTY CUMBERLAND FILE NO. 21 06-0730 ADJUSTMENT BASED ON: S.S/D.C. NO. 174-20-6085 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 06152637 FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 261573-45 TYPE OF ACCOUNT: () SAVINGS () CHECKING (X) TRUST () TIME CERTIFICATE DATE ESTABLISHED 03-16-2005 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions - Taxable Amount Tax Rate X Tax Due .00 1.000 .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 DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT 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.) REV-1470 EX (6-88) INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box. 280601 HAitRISBURG PA 17128-0601 DECEDENT'S NAME FILE NUMBER Jean D. Powell REVIEWED BY ACN 2106-0730 06152634,06152635, 06152636,06152637 Eunice Baker ITEM SCHEDULE NO. EXPLANATION OF CHANGES The above accounts have been adjusted to zero. The accounts were reported on the probate return. ROW Paqe 1