HomeMy WebLinkAbout01-02-09BUREAU 01= INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280501
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~- ~ ,~`_
~~~~ ~ ~ ~'~` ITIHERITANCE TAX
',I{~~ORD ADJUSTMENT
-- JOINTLY HELD OR TRUST ASSETS
?v`l`~ !~~ -2 P~~ r ~ 4
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~~
LESTER KISSINGE'~~
11 LONGWOOD DRIVE
MECHANICSBURG PA 17050
REV-1604 EX AFP (12-OB)
DATE 12-26-2008
ESTATE OF KISSINGER ANITA M
DATE OF DEATH 09-05-2008
FILE NUMBER 21 08-0926
COUNTY CUMBERLAND
SSN/DC 202-36-5289
ACN 08143647
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 ~
REV-161D4 EX AFP C12-08)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE 12-26-2008
ESTATE OF KISSINGER ANITA M DATE OF DEATH 09-05-2008 COUNTY CUMBERLAND
FILE NO. 21 08-0926 S.S/D.C. N0. 202-36-5289
ACN 08143647
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS isT FCU ACCOUNT N0. 273535-0 0
TYPE OF ACCOUNT: CX) SAVINGS ( ) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 10-25-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.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."
PAYIMENT
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 .00
* 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), ^U
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BUREAU 01= INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280501
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
' - I`NW~RITANCE TAX
-'._ RECORD ADJUSTMENT
' - "`JOINTLY'HECD OR TRUST ASSETS
~~~a ..I~! _2 Pry { ~ ~+ ~
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~.JIi ) Jiti
LESTER KISSINGER
11 LONGWOOD DRIVE
MECHANICSBURG PA 17050
REV-1604 IX AFP (12-BB)
DATE 12-26-2008
ESTATE OF KISSINGER ANITA M
DATE OF DEATH 09-05-2008
FILE NUMBER 21 08-0926
COUNTY CUMBERLAND
SSN/DC 202-36-5289
ACN 08143648
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 ~
REV-1604 EX AFP (12-08)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE 12-26-2008
ESTATE OF KISSINGER ANITA M DATE OF DEATH 09-05-2008 COUNTY CUMBERLAND
FILE NI). 21 08-0926 S.S/D.C. N0. 202-36-5289
ACN 08143648
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1sT FCU ACCOUNT N0. 273535-1 1
TYPE 0'F ACCOUNT: C ) SAVINGS CX) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 10-25-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.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 C-) AMOUNT PAID
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00 ri
* 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),
..,.~~ .. ... „~ nnr w orrn.m crr orvroer c7nC nC TLJTC CnRM GAR TNCTRIICTTONS_)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ,~. _ I,NH~RITANCE TAX
INHERITANCE TAX DIVISION ~ RECORD ADJUSTMENT
Po sox 2asssl JOINTLY HELD OR TRUST ASSETS
HARRISBURG PA 17128-0601 ~ -~ ~ ~ '., REV-1604 EX AFP (12-OS)
DATE 12-26-2008
~~~'~ `~~' _2 P `• ~ ` DATETOFODEATH 09S05N2008 ANITA M
FILE NUMBER 21 08-0926
(`;~~j ~, ~ .,.~ COUNTY CUMBERLAND
LESTER KISSINGER G~G ~~~" ~ `•~_'I .~T SSN/DC 202-36-5289
i:,;'1 ACN 08143649
11 LONGWOOD DRIVE ~'~''~
Amount Remitted
MECHANICSBURG PA 17050
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 ~
REV-1604 EX AFP C12-08~
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE 12-26-2008
ESTATE OF KISSINGER ANITA M DATE OF DEATH 09-05-2008 COUNTY CUMBERLAND
FILE NiD. 21 08-0926 S.S/D.C. N0. 202-36-5289 ACN 08143649
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1sT Fcu ACCOUNT N0. 273535-05
TYPE OF ACCOUNT: (X) SAVINGS C ) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 10-25-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
.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."
TAX CREDITS:
PAYI~1ENT
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 00 t
~ 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" CCR),
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REV-1470 EX (6-88)
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARFZISBURG. PA 17128-0601
DECEDENT'S Ni4ME
Anita Kissinger
REVIEWED BY
Rick Olson
FILE NUMBER
2108-0926
08143647, 08143648,
08143649
ITEM EXPLANATION OF CHANGES
SCHEDULE NO.
The above referenced ACN `s has been reduced to zero A II accounts must be reported on
the probate return.
INHERITANCE TAX
EXPLANATION
OF CHANGES
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