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Home My WebLink About02-22-08 (2) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 '-\-"!T'IN~i;RITANCE TAX ,RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS (~:;"r~n r:" ~S 22 ;"" 11 I', ; " ~ I ,r"',; PATRICIA 2 ASH DR MECHANICSBURG PETERSON PA 17055 CUT ALONG THIS LINE REV-160~ EX AFP (03-05) 1'")1 '> 'DATE ,IESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 02-12-2008 MILLER 08-22-2007 21 07-0831 CUMBERLAND 187-16-4395 07141341 E KATHRYN 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 02-12-2008 ESTATE OF MILLER KATHRYN E DATE OF DEATH 08-22-2007 CUMBERLAND FILE NO. 21 07-0831 ADJUSTMENT BASED ON: COUNTY 5.S/D.C. NO. 187-16-4395 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACN 07141341 ACCOUNT NO. 239804-54 TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE DATE ESTABLISHED 07-05-2007 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 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. 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 tNHERITANCE TAX I REt'ORD ADJUSTMENT JOrNTLY HELD OR TRUST ASSETS *' " BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRIS8URG PA 17128-0601 r :-0 ? 2 .} ; _~ ..J ~ _ , '1 i :. .~, ! ,.. I ..' ,. . I"j';- PATRICIA PETERSON 2 ASH DR MECHANICSBURG PA 17055 CUT ALONG THIS LINE REV-160~ EX AFP (03-05) 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 07141342 KATHRYN E 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 02-12-2008 ESTATE OF MILLER KATHRYN E DATE OF DEATH 08-22-2007 CUMBERLAND FILE NO. 21 07-0831 COUNTY ADJUSTMENT BASED ON: S.S/D.C. NO. 187-16-4395 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACN 07141342 ACCOUNT NO. 239804-53 TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE DATE ESTABLISHED 05-15-2007 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 TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN 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." AMOUNT 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 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.) ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE I.NHERITANCE TAX . RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX OIVISION PO BOX 280601 HARRIS8URG PA 17128-0601 ,- '-n zr) ,- .~..i.) '- :;. \ I , t ~ j. Ii \' r',., I PATRICI PETERSON 2 ASH DR MECHANICSBURG PA 17055 REV-1604 EX AFP (D3-05) ~) \ 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 07141344 E KATHRYN 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 02-12-2008 ESTATE OF MILLER KATHRYN E DATE OF DEATH 08-22-2007 CUMBERLAND COUNTY ADJUSTMENT BASED ON: S.S/D.C. NO. 187-16-4395 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FILE NO. 21 07-0831 FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACN 07141344 ACCOUNT NO. 239804-55 TYPE OF ACCOUNT: () SAVINGS () CHECKING () TRUST (X) TIME CERTIFICATE DATE ESTABLISHED 07-30-2007 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 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 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. 280601 HARRISBURG PA 17128-0601 DECEDENTS NAME FILE NUMBER Kathryn E. Miller 2107-0831 REVIEWED BY ACN Eunice Baker 07141341,07141342, 07141344 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