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Home My WebLink About03-10-08 (2) , BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 2B060 1 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT JQINTLY HELD OR TRUST ASSETS * r} : f; ; 1.,,\ \ 0 f'f'l 2: 27 ,~:--, ' MICHAEL V WAGNER 13 HOMESTEAD LN CAMP HILL PA 17011 REV-1604 EX AFP (03-05) DATE 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 06152638 D JEAN 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 CUMBERLAND FILE NO. COUNTY ACN ADJUSTMENT BASED ON: S.S/D.C. NO. 174-20-6085 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION 21 06-0730 FINANCIAL INSTITUTION: MEMBERS 1ST FCU 06152638 ACCOUNT NO. 261569-52 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 . DO .00 .00 .45 .00 TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID 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." TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE * IF PAID AFTER THIS DATE, SEE REVERSE FDR 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.) BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE . , INHERITANCE TAX ~ECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS REV-1604 EX AFP (03-05) ;'JR I 0 r;~ '). ').., DATE ',' L i 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 06152639 JEAN D MICHAEL V 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 S.S/D.C. NO. 174-20-6085 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 06152639 ADJUSTMENT BASED ON: FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 261569-45 TYPE OF ACCOUNT: () SAVINGS () CHECKING eX) TRUST e) TIME CERTIFICATE DATE ESTABLISHED 12-08-2005 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.) s , . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE . INHERITANCE TAX RECORD! ADJUSTMENT JOINTLY HELD OR TRUST ASSETS *' BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 2B0601 HARRISBURG PA 17128-0601 REV-1604 EX AFP (03-05) " , , DATE ? ~rATE OF '-" !SA'rE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 03-03-2008 POWELL 08-12-2006 21 06-0730 CUMBERLAND 174-20-6085 06152640 JEAN D :.' f' r 10. Pi,' I ~: j \ j I ,j MICHAEL V WAGNER 13 HOMESTEAD LN CAMP HILL PA 17011 nl' ..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 03-03-2008 ESTATE OF POWELL JEAN D DATE OF DEATH 08-12-2006 COUNTY CUMBERLAND FILE NO. 21 06-0730 S.S/D.C. NO. 174-20-6085 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 06152640 ADJUSTMENT BASED ON: FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 261569-43 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 * 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,) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ':'.INKERIIANCE TAX 'RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 20G8" R I I] MICHAEL V WAGNER 13 HOMESTEAD LN CAMP HILL PA 17011 " , I REV-16D~ EX AFP (03-05) r: ~,.1 1 t i DATE 2: NATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ,ACN 03-03-2008 POWELL 08-12-2006 21 06-0730 CUMBERLAND 174-20-6085 06152641 o JEAN 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 CUMBERLAND FILE NO. 21 06-0730 ADJUSTMENT BASED ON: COUNTY S.S/D.C. NO. 174-20-6085 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACN 06152641 ACCOUNT NO. 261569-41 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: PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT 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." 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 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.) St REV-1470 EX (6-88) , '* INHERITANCE TAX EXPLANATION COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OF CHANGES BUREAU OF INDIVIDUAL TAXES PO Box. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME FILE NUMBER Jean D. Powell 2106-0730 REVIEWED BY ACN Eunice Baker 06152638,06152639, 06152640,06152641 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