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Home My WebLink About03-10-08 (3) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS . BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280101 HARRISBURG PA 17128-0601 " h ~l t~ '0 r ill ":""'11" MATTHEW K WAGNER 13 HOMESTEAD LN CAMP HILL PA 17011 CUT ALONG THIS LINE REV-1604 EX AFP (03-05) 2: ...,,:' DATE ,- .::'J 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 06152631 JEAN D 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 C03-05) -- INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS __ DATE 03-03-2008 ESTATE OF POWELL JEAN CUMBERLAND D DATE OF DEATH 08-12-2006 FILE NO. 21 06-0730 COUNTY ADJUSTMENT BASED ON: S.S/D.C. NO. 174-20-6085 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACN 06152631 ACCOUNT NO. 261572-46 TYPE OF ACCOUNT: () SAVINGS () CHECKING (X) TRUST () TIME CERTIFICATE DATE ESTABLISHED 02-03-2006 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 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. ( 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 "'. INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 2B0601 HARRISBURG PA 17128-0601 ._.4J-I"'" fO ; : '~'J{ . ' r.~, . 1-"';.1 i r i 2- ..,t") . r_~ - "- w' c:'--~' 'r--:- MATTHEW K WAGNER 13 HOMESTEAD LN CAMP HILL PA 17011 CUT ALONG THIS LINE 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 06152632 JEAN D 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 C03-05J -- INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS __ DATE 03-03-2008 ESTATE OF POWELL JEAN CUMBERLAND D DATE OF DEATH 08-12-2006 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 06152632 ACCOUNT NO. 261572-44 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 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.) ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE .. . C 'INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 /t8 ; 0 r H (,~., ,..); MATTHEW K WAGNER 13 HOMESTEAD LN CAMP HILL PA 17011 CUT ALONG THIS LINE REV-1604 EX AFP (03-05) ". ."\ ,:DATE .:> L'tSTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 03-03-2008 POWELL 08-12-2006 21 06-0730 CUMBERLAND 174-20-6085 06152633 JEAN D 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 03-03-2008 ESTATE OF POWELL JEAN CUMBERLAND D DATE OF DEATH 08-12-2006 FILE NO. 21 06-0730 COUNTY ADJUSTMENT BASED ON: S.S/D.C. NO. 174-20-6085 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACN 06152633 ACCOUNT NO. 261572-42 TYPE OF ACCOUNT: e) SAVINGS e) CHECKING eX) TRUST e) 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 RECEIPT DISCOUNT e+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID e-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE nn /'1 II 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 Buf';EAU O,1NDIVIDUAL TAXES PO Box. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME Jean D. Powell FILE NUMBER Eunice Baker ACN 2106-0730 06152631,06152632, 06152633 REVIEWED BY 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