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Home My WebLink About10-26-12 INHERITANCE TAX RECORD ADJUSTMENT G~~~l~~j~ ~~ I~y~ FVG ~INTLY HELD OR TRUS7 ASSETS BUREAU OF INDIVIDUAL TA _ INHERITANCE TAX DIVISION ~'` /I~i"° ~!~ '' - !+. hl ~ Q PO BO% 280601 Arli'v '~ J~ '-. ~ ~ ' -~-'1 HARRISBURG PA 17128-0601 ?012 OCT 26 AN I I ~ 36 Q~r'Y~hJ~ J l.tiijl'tr LYNN y~1~~RLAND CO, PA 253 KEY WEST BLVD CARLISLE PA 17015 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1604 EX AFP (12-1ll DATE 10-17-2012 ESTATE OF WALTER CARRYL L DATE OF DEATH 05-16-2011 FILE NUMBER 21 11-0593 COUNTY CU Amount Remittetl MAKE CHECK PAYABLE AND REMIT PAYMENT 70: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~-- RE7AIN LOWER PORTION FOR YOUR RECORDS l--~ REV-1604 EX AFP (12'117 -----~---------'--'----'---'---'---~---------'-'--- ^^ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ^~( DATE• 10-17-2012 ESTATE OF: WALTER CARRYL L DATE OF DEATH: 05-16-2011 COUNTY: CUMBERLAND FILE NO.: 21 11-0593 S.S/D.C. ADJUSTMENT BASED ON: ACN' 11137720 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1sT FCU ACCOUNT N0.:366091-BD TYPE OF ACCOUNT: ( ) SAVINGS ( ) CHECKING CX) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED OS-29-2009 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: .00 NOTE: X 1.000 .00 .00 .00 X .045 .00 70 ENSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMI7 THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT 70 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 T07AL 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 p "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 280601 HARRISBURG PA 11128-0601 LYNN WALTER 253 KEY WEST BLVD CARLISLE PA 17015 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1604 EX AFP (12-1ll DATE 10-17-2012 ESTATE OF WALTER CARRYL L DATE OF DEATH 05-16-2011 FILE NUMBER 21 11-0593 COUNTY CUMBERLAND SSN/DC ACN 11137722 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SpUARE CARLISLE PA 17013 CU7 ALONG THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS (~ E V -16 0 4 EX AFP (12 -1 1) '---'--"'---------~-• *^ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR 7R UST ASSETS ^^ DATE: 10-17-2012 ESTATE OF: WALTER CARRYL L DATE OF DEATH: 05-16-2011 COUNTY: CUMBERLAND FILE NO.: 21 11-0593 S.S/D.C. N0.: 204-26-9194 ADJUSTMENT BASED ON: ACN: 1113 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1sT Fcu ACCOUNT N0.:360091-05 TYPE OF ACCOUNT: ( ) SAVINGS ( ) CHECKING (X) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 12-29-2010 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: .00 NOTE: X 1.000 .00 - .00 X .045 .00 TO ENSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS A7 THE ADDRESS SHOWN ABOVE. MAKE CHECK OR MONEY ORDER PAYABLE T0: •'R EGISTER OF WILLS, AGENT.'' PAYMENT DATE RECEIPT NUMBER S % N P INTER T PE AID (-) AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 0 INTEREST AND PEN. 0 TOTAL DUE IF PgID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REELECTED AS A "CREDIT" (C R), YOU MAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. INHERITANCE TAX JOINTL YE HELD ORJ TRUST ASSETS ~,P BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 1]128-0601 LYNN WALTER 253 KEY WEST BLVD CARLISLE PA 17015 DATE 10-17-2012 ESTATE OF WALTER CARRYL L DATE OF DEATH 05-16-2011 FILE NUMBER 21 11-0593 COUNTY ACN 11137721 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SpUARE CARLISLE PA 17013 CUT ALONG THIS LINE y RETAIN LOWER PORTION FOR YOUR RECORDS (-~ REV-1604 EX AFP (12-11) ""'--"'-"-'---'-• ^* INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ~^ DATE: 10-17-2012 ESTATE OF: WALTER CARRYL L DATE OF DEATH: 05-16-2011 COUNTY: CUMBERLAND FILE NO.: 21 11-0593 S.S/D.C. N0.: 204-26-9194 ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION ACN: 111377: JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1sT Fcu ACCOUNT N0.: 356891-11 TYPE OF ACCOUNT: ( ) SAVINGS C ) CHECKING (X) TRUST C ) TIME CERTIFICATE DATE ESTABLISHED 08-29-2009 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: .00 X 1.000 .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: •'R EGISTER OF WILLS, AGENT.'' PAYMENT DATE RECEIPT NUMBER INTERS T%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 REFL ECTEO AS A "CREDIT'' ICR1, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. S a , INHERITANCE TAX RECDRD ADJUSTMENT Pennsylvania ~ JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE REV-1604 EX AFP Q2-]ll