HomeMy WebLinkAbout02-22-08
-
, ,.l \ I.. ':...l'TE
1.\ll.(JJA
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
02-12-2008
MILLER
08-22-2007
21 07-0831
CUMBERLAND
187-16-4395
07141337
KATHRYN
E
.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
- .. -!-. INHEUTANCE TAX
RECORD ADJUSTMENT
-JOINTLY HELD OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX OIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
REV-16D4 EX AFP (03-05)
','-,r~ r :-~ 2.2.
, ...... .
PATRICIA PETERSON
2 ASH DR
MECHANICSBURG PA 17055
r.
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
+-
CUT ALONG THIS LINE
REV-1604 EX AFP (03-05)
~~ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ~~
DATE 02-12-2008
ESTATE OF MILLER
KATHRYN
E DATE OF DEATH 08-22-2007
COUNTY
CUMBERLAND
FILE NO.
21 07-0831
s.S/D.C. NO. 187-16-4395
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
ACN
07141337
ADJUSTMENT BASED ON:
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
239804-05
TYPE OF ACCOUNT: (X) SAVINGS () CHECKING () TRUST () TIME CERTIFICATE
DATE ESTABLISHED 07-26-2007
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 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.)
-
c (1
;;_\
-'r">. 1")""
-,'I,:"C
r ~I. I i
i 1\
('.. ,
:.1
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
02-12-2008
MILLER
08-22-2007
21 07-0831
CUMBERLAND
187-16-4395
07141338
KATHRYN
E
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 1712B-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'INHERITANCE TAX
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
I'.
REV-1604 EX AFP (03-05)
PATRICIA PETERSON
2 ASH DR
MECHANICSBURG PA 17055
r
Amount Remitted
1
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
------------------------------------------------------------------------------------------------------------------------------------------------------------------
--+ RETAIN LOWER PORTION FOR YOUR RECORDS
4-
CUT ALONG THIS LINE
REV-1604 EX AFP (03-05)
~~ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ~~
DATE 02-12-2008
ESTATE OF MILLER
KATHRYN
E DATE OF DEATH 08-22-2007
COUNTY
CUMBERLAND
FILE NO. 21 07 - 0831
ADJUSTMENT BASED ON:
S.S/D.C. NO. 187-16-4395
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
ACN
07141338
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
239804-40
TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE
DATE ESTABLISHED 02-15-2007
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 DR 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 J'" ^~~
* 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
--r- 'lNHERITANCE TAX
RECORD ADJUSTMENT
~OINTLV HELD OR TRUST ASSETS
REV-1604 EX AFP (05-0S>
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 17128-0601
'22
"',; , I ~ ,-.. \
r I' t' .:~ \
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
02-12-2008
MILLER
08-22-2007
21 07-0831
CUMBERLAND
187-16-4395
07141339
]
KATHRYN
E
PATRICIA PETERSON'
2 ASH DR
MECHANICSBURG PA 17055
[:
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)
.. INNERITANCE TAX RECORD ADJUSTNENT JOINTLY HELD OR TRUST ASSETS ..
DATE 02-12-2008
CUMBERLAND
ESTATE OF MILLER
KATHRYN
E DATE OF DEATH 08-22-2007
COUNTY
ACN
07141339
FILE NO. 21 07 - 0831
ADJUSTMENT BASED ON:
S.S/D.C. NO. 187-16-4395
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
239804-42
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
TYPE OF ACCOUNT' () SAYINGS () CHECKING () TRUST (X) TINE CERTIFICATE
DATE ESTABLISHED 02-23-2004
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."
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.
TAX CREDITS:
, IF ,.," .UE " .E" IN~ .,. N' p~'E" " .E'UIRE'. IF ,.," .UE " REF.E,'E' .. · .'RE"I. "R).
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.>
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
r ,INHERITANCE TAX
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
REV-1604 EX AFP (03-05)
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX OIVISION
PO BOX 2B0601
HARRISBURG PA 17128-0601
02-12-2008
MILLER
08-22-2007
21 07-0831
CUMBERLAND
187-16-4395
07141340
3
KATHRYN
E
"n\ r::s, r'2
,"-' -- !..
L!:\ \1: ? \
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
Amount Remitted
rf):::'
PETERSON ('\~'
[
PATRICIA
2 ASH DR
MECHANICSBURG
.~
PA 17055
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 AOJUSTHENT JOINTLY HELD OR TRUST ASSETS ..
DATE 02-12-2008
CUMBERLAND
ESTATE OF MILLER
KATHRYN
E DATE OF DEATH 08-22-2007
COUNTY
ACN
07141340
FILE NO.
21 07-0831
S.S/D.C. NO. 187-16-4395
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
239804-51
ADJUSTMENT BASED ON:
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
TyPE OF ACCOUNT' () SAVINGS () CHECKING () TRUST (X) TIHE CERTIFICATE
DATE ESTABLISHED 09-27-2006
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."
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
TAX CREDITS:
* IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
, 1F TO' AC DUE I S CESS 'HAM ". HD P A YHENT IS REDU I RED. 1F TO' AC DUE " REFCWED AS A "CREDIT" "R).
yOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
REV-1470 EX (6-88)
'* \NHERlT ANCE TAX
EXPLANAT\ON
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
PO Box. 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME FILE NUMBER
Kathryn E. Miller 2107-0831
REVIEWED BY ACN
Eunice Baker 07141337,07141338,
07141339,07141340
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
The above accounts have been adjusted to zero. The accounts were reported on the
probate return.
, ' . ,
pa
ROW