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Home My WebLink About04-04-08 (3) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ;)(:ci'y:;rWTi CiFF!CF fffHERITANCE TAX 'c...V_" '!'~'-:~: ~',::;R~CORD ADJUSTMENT :L',J;g~N1I..Y':HELD OR TRUST ASSETS BUREAU OF INDIVIDUAL TAXES INHERITANCE l~X DIVISION PO BOX 28060l. HARRISBURG PJ\ 1712B-0601 200B APR -4 PM ,: 55 CLERK OF ORPHAN'S COURT OBRIEN CUi, 'r:, PA MICHAEL APT 3 4600 WARRINGTON MECHANICSBURG AVE PA 17055 REV-1604 EX AFP (03-05) DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 03-26-2008 OBRIEN 01-20-2007 21 07-0101 CUMBERLAND 182-22-7360 07111307 C LILLIAN 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 C03-05J ** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ** DATE 03-26-2008 ESTATE OF OBRIEN LILLIAN CUMBERLAND C DATE OF DEATH 01-20-2007 COUNTY ACN FILE NO. 21 07-0101 ADJUSTMENT BASED ON: S.S/D.C. NO. 182-22-7360 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU 07111307 ACCOUNT NO. 49432-11 TYPE OF ACCOUNT: () SAVINGS (X) CHECKING () TRUST () TIME CERTIFICATE DATE ESTABLISHED 04-24-1987 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxablie Amount Tax Rate X Tax Du,e .00 0.166 .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 (-) 02-04"2008 SBADJUST .00 4.22 TOTAL TAX CREDIT 4.22 BALANCE OF TAX DUE 4.22CR INTEREST AND PEN. .00 TOTAL DUE 4 22CR * 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), ~ u, -- -..- . ~~~""n .."" D"\I"D~" c::rDI'" 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 HARRISBURG PA 17128-0601 DECEDENT'S NAME FILE NUMBER Lillian C. O'Brien REVIEWED BY ACN 2107 -0101 07111309,07111307 Eunice Baker ITEM SCHEDULE INO. EXPLANATION OF CHANGES The above accounts have been adjusted to zero. The accounts were reported on the probate return. There will be a refund forthcoming. ROW Paqe 1 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE 0r~,~~lTANCE TAX Ullftc.ol'uf ADJUSTMENT r-EC:<~~~!!,L V,/~~D OR TRUST ASSETS * BUREAU OF INDIVIDUAL TAXES INHERITANCE lAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 Z008 APR -4 PM I: 55 LEILANI BRANDT 8:!12 MOUNTAIN RD NIEWVILLE CLERK OF ORPHAN'S COURT , DA PA 17241 REV-1604 EX AFP (03-05) DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 03-26-2008 OBRIEN 01-20-2007 21 07-0101 CUMBERLAND 182-22-7360 07111306 .' LILLIAN C 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 03-26-2008 ESTATE OF OBRIEN LILLIAN CUMBERLAND C DATE OF DEATH 01-20-2007 COUNTY ACN 07111306 F I L E NO. 21 07- 0101 ADJUSTMENT BASED ON: S.S/D.C. NO. 182-22-7360 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 49432-11 TYPE OF ACCOUNT: () SAVINGS (X) CHECKING () TRUST () TIME CERTIFICATE DATE ESTABLISHED 04-24-1987 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due .00 0.166 .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 DA.TE NUMBER INTEREST/PEN PAID (-) 02-04-2008 SBADJUST .00 4.22 TOTAL TAX CREDIT 4.22 BALANCE OF TAX DUE 4.22CR INTEREST AND PEN. .00 TOTAL DUE 4,2?r:R * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. f2t ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). --- "_U_~",., <'TnJ: nJ: T~TC: I'DRM FOR INSTRUCTIONS.) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ~[_,,...I.N~.ERITANCE TAX Lh-j-J&gd.9RD ADJUSTMENT !:J1>>lHl\l.~. tfELD OR TRUST ASSETS , ~_; i <.,,/1 t1'~' '; BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG P,\ 1712B- 0601 Z008 APR -4 PM ,: 55 LEILANI BRANDT 8:52 MOUNTAIN RD NIEWVILLE CLERK OF ORP'-IM,J'(J-- (V"U'RT ' l lJ I' 1 \ \,\...' ' CU\rcr-r:; . ;"\ DII , .. '..'. . /'" PA 17241 REV-1604 EX AFP (03-05) DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 03-26-2008 OBRIEN 01-20-2007 21 07-0101 CUMBERLAND 182-22-7360 07111308 LILLIAN C 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 03-26-2008 ESTATE OF OBRIEN LILLIAN CUMBERLAND C DATE OF DEATH 01-20-2007 FILE NO. 21 07-0101 ADJUSTMENT BASED ON: COUNTY S.S/D.C. NO. 182-22-7360 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACN 07111308 ACCOUNT NO. 49432-00 TYPE OF ACCOUNT: (X) SAVINGS () CHECKING () TRUST () TIME CERTIFICATE DATE ESTABLISHED 01-08-1986 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxabll! Amount Tax Rate X Tax Due .00 0.166 .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>, d n' -- -..- . ---".... """ D"""D<": <:Tn~ n~ TI-IIS FORM FOR INSTRUCTIONS.) l' La REV-I.70 EX (6-88) INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME FILE NUMBER Lillian C. O'Brien REVIEWED BY ACN 2107-0101 07111306,07111308 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