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Home My WebLink About12-05-11~' INHERITANCE TAX RECORD ADJUSTMENT JOINTL,~ HELD OR TRUST ASSETS BUREAU OF INDIVIDUAL TAXES ,i ` ;, ''_,~ ~,;, INHERITANCE TAX DIVISION ~^~? ;:;}~~ PO BOX 280601 I ~ _' HARRISBURG PA 17126-0601 cLL` .; C~ EFK ~'~~ Or~P~~~a,k;,'~~; ~ ~J~f;T CATHERINE M TA'~LO~(J~ i ~-`~ ~` ~~ '^;~'' P,~ 1395 WILLIAM GLOVE ROAD MECHANICSBURG ' PA 17055 Pennsylvania ~ ~ DEPARTMENT OF REVENUE REV-1604 EX AFP Q 2-10) DATE 11-30-2011 ESTATE OF K.ARPER FAYE I DATE OF DEATH 08-04-2010 FILE NUMBER 21 10-0960 COUNTY CUMBERLAND SSN/DC 204-30-6454 ACN 10147239 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~--~ REV-1604 EX AFP C12-~0) ~~ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ** DATE: 11-30-2011 -I ESTATE OF: KARPER ' FAYE I DATE OF DEATH: 08-04-2010 COUNTY: CUMBERLAND FILE NO.: 21 10-0960!i S.S/D.C. N0.:204-30-6454 ACN: 10147239 ADJUSTMENT BASED pN: ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1sT FCU ACCOUNT N0.: 75375-00 _ TYPE OF ACCOUNT: CX~ SAVINGS C ) CHECKING C ) TRUST C ) TIME CERTIFICATE DATE ESTABLISHED 02-Y4-1964 Account Balance Percent Taxable Amount Subject to Talc Debts and Deductions. Taxable Amount Tax Rate Tax Due TAX CREDITS: .00 X 0.500 .00 _ .00 .00 X .045 .00 NOTE: TO ENSURE 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 REC IPT NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX PAYMENT .00 ', BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE * IF PAID AFTER THIS DAT~, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY 'BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. BUREAU OF INDIVIDUAL TAXES , INHERITANCE TAX DIVISIDN PO BOX 280601 HARRISBURG PA 17128-0601 CATHERINE M TA'~LOR 1395 WILLIAM G~ZOVE ROAD MECHANICSBURG PA 17055 DATE 11-30-2011 ESTATE OF KARPER FAYE I DATE OF DEATH 08-04-2010 FILE NUMBER 21 10-0960 COUNTY CUMBERLAND SSN/DC 204-30-6454 ACN 10147240 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE ' -• RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1604 EX AFP C12-XO) ** INHERITAN(~E TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ** ' DATE• 11-30-2011 ESTATE OF: KARPER ' FAYE I DATE OF DEATH: 08-04-2010 COUNTY: CUMBERLAND FILE NO.: 21 10-0960' S.S/D.C. N0.:204-30-6454 ACN: 10147240 ADJUSTMENT BASED N: ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUfi'ION: MEMBERS isT FCU ACCOUNT N0.:75375-11 TYPE OF ACCOUNT: C ~ SAVINGS DATE ESTABLISHED 10- 3-1998 Account Balance Percent Taxable Amount Subject to Ta~C Debts and Deductions' Taxable Amount Tax Rate Tax Due TAX CREDITS: INHERITANCE TAX RECORD ADJUSTMENT pennsylvarna ~ JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE REY-1604 EX AFP (12-10) CX) CHECKING C ) TRUST C ) TIME CERTIFICATE .00 X 0.500 .00 .00 .00 X .045 .00 NOTE: TO ENSURE 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 REC NUM IPT BER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID i ^ TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 ', INTEREST AND PEN. .00 TOTAL DUE IF PAID AFTER THIS DAT~, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY 'BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 INHERITANCE TAX RECORD ADJUSTMENT pennSy~V8n18 ~ ~ :~~ JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE ' REV-1604 EX AFP C12-10) DATE l:1-30-2011 ESTATE OF KARPER FAYE I DATE OF DEATH 08-04-2010 FILE NUMBER 21 10-0960 COUNTY CUMBERLAND SSN/DC 204-30-6454 ACN 10147241 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE: SQUARE CARLISLE PA 17013 CATHERINE M TAILOR 1395 WILLIAM GLOVE ROAD MECHANICSBURG PA 17055 CUT ALONG THIS LINE -- RETAIN LOWER PORTION FOR YOUR RECORDS f- REV-1604 EX AFP C12-1 ) ** INHERITANC TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ** DATE• 11-30-2011 ESTATE OF: KARPER ' FAYE I DATE OF DEATH: 08-04-2010 COUNTY: CUMBERLAND FILE NO.: 21 10-0960 S.S/D.C. N0.:204-30-6454 ACN: 10147241 ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUT~IION: MEMBERS 1sT FCU ACCOUNT NO.: 75375-05 TYPE OF ACCOUNT: CX)'',SAVINGS C ) CHECKING C ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 07-17~-2006 Account Balance .00 Percent Taxable X 0.500 Amount Subject to Tax .00 Debts and Deductions .00 Taxable Amount ' .00 Tax Rate X .045 Tax Due ' .00 TAX CREDITS: NOTE: TO ENSURE 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 RECEIP NUMBE DISCOUNT C+) INTEREST/PEN PAID (-) AMOUNT PAID i I!i TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 ~, TOTAL DUE ~ IF PAID AFTER THIS DATE, $EE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 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 (St-10) ' ~ pennsylvani~ INHERITANCE TAX DEPARTMENT OF REVENUE EXPLANATION BUREAU OF INDIVIDUAL TAKES OF CHANGES PO Box 280601 DECEDENT'S NAME FILE NUMBER KARPER FAYE I 2110-0960 REVIEWED BY ACN Elizabetlh Bloom 10147239, 10147240, 10147241 ITEM SCHEDULE NO. EXPLANATION OF CHANGES Above-referenced ACN(s) are being adjusted to reflect zero tax due since they have been reported) on the probate return. Row Pape 1