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Home My WebLink About06-13-08BUREAU OF I!!'bIV,~lUAL TAXES INHERITANCE TAX OIYISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE __ TNHERITANCE TAX RECORD ADJUSTMENT J'OI~NTLY HELD OR TRUST ASSETS k s~ a ~~ ~~ ~~~~i'r~ {jl- ~~++~~ORP--Ir",1~I': ~~`~~T LINDA R JOHNSONBE`Xu~~°~~ '~~~ { ~~~~ ~~~ 8 MAYFIELD RD MECHANICSBURG PA 17055 REY-1604 EX AFP (03-05) DATE 06-10-2008 ESTATE OF JOHNSON HELEN S DATE OF DEATH 11-25-2006 FILE NUMBER 21 07-0038 COUNTY CUMBERLAND SSN/DC 176-16-3223 ACN 07108365 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE -1 RETAIN LOWER PORTION FOR YOUR RECORDS F- REV-1604 EX AFP C03-05) *~ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ** DATE 06-10-2008 ESTATE OF JOHNSON HELEN S DATE OF DEATH 11-25-2006 COUNTY CUMBERLAND FILE N0. 21 07-0038 S.S/D.C. N0. 176-16-3223 ACN 07108365 ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: FULTON BANK ACCOUNT N0. 3622-23395 TYPE OF ACCOUNT: C ) SAVINGS CX) CHECKING C ) TRUST C ) TIME CERTIFICATE DATE ESTABLISHED 10-14-2003 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: .00 NOTE: X 0.500 .00 .00 .00 X .45 .00 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 T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) 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. ( IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR)r YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) BUREAU OF I!RDIV~UAL TAXES INHERITANCE TAX DIVISION PD BOX 280601 HARRISBURG PA 17128-0601 LINDA R JOHNSONBEX 8 HAYFIELD RD COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE `INHERITANCE TAX RECORD ADJUSTMENT JOINTL-1( 'FIELD OR TRUST ASSETS REV-1604 EX AFP C03-05) 1.v~L`~ ..°vC'a ~ ~ F'~ ~~~ ~~TE 06-10-2008 ESTATE OF JOHNSON HELEN S DATE OF DEATH 11-25-2006 t~_~~~ Q` FILE NUMBER 21 07-0038 D~~i~h~l`~ ~ ~~E~;~i COUNTY CUMBERLAND ~~~I~~~:~-~~~' ;^, • ~~-~ ; ~~`~, ~~~SSN/DC 17 6 -16 - 3223 ACN 07115263 MECHANICSBURG PA 17055 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS E-- REV-1604 EX AFP C03-05~ ** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ** DATE 06-10-2008 ESTATE OF JOHNSON HELEN S DATE OF DEATH 11-25-2006 COUNTY CUMBERLAND FILE N0. 21 07-0038 S.S/D.C. N0. 176-16-3223 ACN 07115263 ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PSECU ACCOUNT N0. 0176163223 TYPE OF ACCOUNT: (X) SAVINGS ( ) CHECKING C ) TRUST C ) TIME CERTIFICATE DATE ESTABLISHED 05-06-1988 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX GREDITS: .00 X 0.500 .00 _ .00 .00 X .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 T0: "REGISTER OF WILLS, AGENT." 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. C IF TOTAL DUE IS LESS THAN S1, 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 (&881 ~~~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG- PA 17128-0601 INHERITANCE TAX EXPLANATION OF CHANGES DECEDENT'S NAME FILE NUMBER Helen Johnson 2107-0038 REVIEWED BY Department of Revenue/ Emerson Luciano A 07108365 - 07115263 ITEM SCHEDULE Np, EXPLANATION OF CHANGES The above referenced ACN has been reduced to zero, as this account was reported on the probate return. Page 1