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Home My WebLink About09-17-12 BUREAU OF INDIVIDI~'~~~~ G~.!~f }r~l{, 1Ji INHERITANCE TAX DIVISIO 1 PO BOX 280601 '~€U~~--w,~ ~~j- ,'~~!~? ~,V HARRISBURG PA 17128-0601 7Q12 SEP 17 Phi I= 50 INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ~_f1L~a(\ ice[ Q~HAN'S COtJ~T KATHY '~NI~ ~0„ FA 6209 WESTOVER DR MECHANICSBURG PA 17050-2341 CUT ALONG THIS LINE --) RETAIN LOWER PORTION FOR YOUR RECORDS F-' REV-1604 EX AFP C12-11) ~* INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ** DATE: 09-11-2012 ESTATE OF: HILTON PAUL J DATE OF DEATH: 10-23-2011 COUNTY: CUMBERLAND FILE NO.: 21 11-1149 S.S/D.C. N0.: ACN: 11174792 ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: CENTRIC BANK ACCOUNT NO.: 3037959 TYPE OF ACCOUNT: C ) SAVINGS C ) CHECKING C ) TRUST CX) TIME CERTIFICATE DATE ESTABLISHED 08-19-2010 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 .15 .00 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1604 EX AFP (12-11) DATE 09-11-2012 ESTATE OF HILTON PAUL J DATE OF DEATH 10-23-2011 FILE NUMBER 21 11-1149 COUNTY CUMBERLAND SSN/DC 206-10-9199 ACN 11174792 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 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 RECEIPT 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 DATE, 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. Q~ INHERITANCE TAX RECORD ADJUSTMENT ~.~~~7} frj"~ ~r~i~I~LY HELD DR TRUST ASSETS BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION ~~Gi j j `~ ~ LfL ~,yI1 PD BOX 280601 vF HARRISBURG PA 17128-0601 1012 SEP 17 PM I ~ 50 Oi~'1-~W'S CUU~sT KATHY A KOK~CRLEWD CO.. PA 6209 WESTOVER DR MECHANICSBURG PA 17050-2341 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1604 EX AFP (12-11) DATE 09-11-2012 ESTATE OF HILTON PAUL J DATE OF DEATH 10-23-2011 FILE NUMBER 21 11-1149 COUNTY CUMBERLAND SSN/DC ACN 11178028 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS E- REV-1604 EX AFP C12-11~ ** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ~* DATE: 09-11-2012 ESTATE OF: HILTON PAUL J DATE OF DEATH: 10-23-2011 COUNTY: CUMBERLAND FILE NO.: 21 11-1149 S.S/D.C. N0. ACN: 11178028 ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT N0.:5112029871 TYPE OF ACCOUNT: C ) SAVINGS CX) CHECKING C ) TRUST C ) TIME CERTIFICATE DATE ESTABLISHED 07-14-2010 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 .15 .00 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 RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX. PAYMENT .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 REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. INHERITANCE TAX ~Q((''.~(~(~ {}(~ ~y RECORD ADJUSTMENT BUREAU OF INDIVIDUAL TA7~L~}VV~VI.Lf '~"~~ ~~INTLY HELD OR TRUST ASSETS INHERITANCE TAX DIVISION (~ (~iC;"'r`{'1 'i'ce iR )~ l PO BOX 280601 ~ I~tJ;V ~ r~..~ '~l+ <~t~-L,J HARRISBURG PA 17128-0601 ~U12 SEP 17 PM 1 ~ SCE ~yQF~i-tAN`5 C+OURr . . KATHY A Ibs,~I.AND CA.. 6209 WESTOVER DR MECHANICSBURG PA 17050-2341 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1604 EX AFP C12-11) DATE 09-11-2012 ESTATE OF HILTON PAUL J DATE OF DEATH 10-23-2011 FILE NUMBER 21 11-1149 COUNTY CUMBERLAND SSN/DC ACN 11178029 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 E-- ------------------------------------------------- REV-1604 EX-AFP C12-11) ** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ~~ DATE: 09-11-2012 ESTATE OF: HILTON PAUL J DATE OF DEATH: 10-23-2011 COUNTY: CUMBERLAND FILE NO.: 21 11-1149 S.S/D.C. N0.: ACN: 11178029 ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT N0.:5112501304 TYPE OF ACCOUNT: CX) SAVINGS C ) CHECKING ( ) TRUST C ) TIME CERTIFICATE DATE ESTABLISHED 01-25-2010 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 .15 .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 RECEIPT 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 DATE, SEE 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. BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 260601 HARRISBURG PA 17128-0601 ':fLC` QF~'t-iAfv'S~UA ~ KATHY A KOKOSKIC~~D ~" 6209 WESTOVER DR MECHANICSBURG PA 17050-2341 INHERITANCE TAX ~COR~~Cu~,~~i~°ELD ORJ TRUST ASSETS Pennsylvania DEPARTMENT OF REVENUE REV-1604 EX AFP C12-11) DATE 09-11-2012 ESTATE OF HILTON PAUL J DATE OF DEATH 10-23-2011 FILE NUMBER 21 11-1149 COUNTY CUMBERLAND SSN/DC ACN 11178030 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 ?~ i 1 SEP 17 Pty I ~ 5 [~ CUT ALONG THIS LINE ~! RETAIN LOWER PORTION FOR YOUR RECORDS F~ ----------------------------------------------------------------------------- REV-1604 EX AFP C12-11~ ** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ** DATE• 09-11-2012 ESTATE OF: HILTON PAUL J DATE OF DEATH: 10-23-2011• COUNTY: CUMBERLAND FILE NO.: 21 11-1149 S.S/D.C. N0.: ACN: 11178030 ADJUSTMENT BASED pN: ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO.: 5112709228 TYPE OF ACCOUNT: CX) SAVINGS C ) CHECKING ( ~ TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 01-06-2010 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: PAYMENT RECEIPT DATE NUMBER .00 X 0.500 .00 .00 .oo X .15 .00 DISCOUNT (+) INTEREST/PEN PAID (-) 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." AMOUNT PAID TOTAL TAX PAYMENT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE * IF PAID AFTER THIS DATE, 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. REV-'i 470 EX (01-10) • ~ -~ pennsylvan~a DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG PA 17126-0601 DECEDENTS NAME Paul J Hilton REVIEWED BY Robin Graff SCHEDULE I INO. INHERITANCE TAX EXPLANATION OF CHANGES EXPLANATION OF CHANGES FILE N 2111-1149 ACN 1117479211178028 1117802911178030 A review has been conducted on this account. The Department has determined that this joint bank account will be reported on the probate return. Therefore, this assessment has been corrected. ROW Page 1