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Home My WebLink About04-07-14 INHERITANCE TAX pennsylvania RECORD ADJUSTMENT BUREAU OF INDIVIDUAL TAXES JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE -- INHERITANCE TAX DIVISION REV-1604 IX AFP (12-13) PO BOX 280601 HARRISBURG PA 17128-0601 DATE 03-24-2014 ESTATE OF SHIREY CHRISTA DATE OF DEATH 07-07-2012 FILE NUMBER 21 12-0752 COUNTY CUMBERLAND SSN/DC THOMAS N SHIREY ACN 12142289 R D 10 BOX 103 Amount Remitted CARLISLE PA 17013 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 F ------___—------___—--------------________________------_----------_______------___.-------------------_____—-------______..___---------- REV-1604 EX AFP (12-13) INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ■■ DATE: 03-24-2014 ESTATE OF: SHIREY CHRISTA DATE OF DEATH: 07-07-2012 COUNTY: CUMBERLAND FILE NO. : 21 12-0752 S.S/D.C. NO. : ACN: 12142289 ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION : MEMBERS 1ST FCU ACCOUNT NO. : 53038-00 TYPE OF ACCOUNT: ( X) SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 03-31-1978 Account Balance .00 NOTE: TO ENSURE PROPER CREDIT TO YOUR Percent Taxable X 0.500 ACCOUNT, SUBMIT THE UPPER PORTION Amount Subject to Tax .00 OF THIS NOTICE WITH YOUR TAX Debts and Deductions .00 PAYMENT TO THE REGISTER OF WILLS Taxable Amount .00 AT THE ADDRESS SHOWN AWE. Tax Rate X .045 MAKE CHECK OR �DNEY OR= P,W4 Tax Due • 00 TO: "REGISTERMO WILLSm AGRI9, TAX CREDITS: rn = c'> o PAYMENT RECEIPT DISCOUNT (+) F' M M DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID I-_ 1] C7 -T: C7 -n 3 ::�5 -� O — n r m D W N 0 TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .DO 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. REVA470 EX(01-10) 2 - nnenns lvania M Y INHERITANCE TAX + X DEPARTMENT OF REVENUE EXPLANATION BUREAU OF INDIVIDUAL TAXES OF CHANGES. PO Box 280601 0 DECEDENT'S NAME FILE NUMBER Christa Shirey 2112-0752 REVIEWED BY ACN James (Agent 197) 12142289 ITEM SCHEDULE NO. EXPLANATION OF CHANGES Above-referenced ACN is being adjusted to reflect zero tax due since it has been reported on the probate return. Page 1 INHERITANCE TAX RECORD ADJUSTMENT - pennsylvania BUREAU OF INDIVIDUAL JOINTLY HELD OR TRUST ASSETS - DEPARTMENT OF REVENUE -- INHERITANCE TAX DIVISION TAXES REV-1604 EX AFP (12-13) PO BOX 280601 HARRISBURG PA 17128-0601 DATE 03-24-2014 ESTATE OF SHIREY CHRISTA DATE OF DEATH 07-07-2012 FILE NUMBER 21 12-0752 COUNTY CUMBERLAND SSN/DC THOMAS N SHIREY ACN 12142290 R D 10 BOX 103 Amount Remitted CARLISLE PA 17013 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 F --—----——--—--------——------—--—--------—----------------------------—-------—-—--—---—-—--—----------------------—------------------—--'------- REV-1604 EX AFP (12-13) ** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS x* DATE: 03-24-2014 ESTATE OF: SHIREY CHRISTA DATE OF DEATH: 07-07-2012 COUNTY: CUMBERLAND FILE NO. : 21 12-0752 S.S/D.C. NO. : ACN: 12142290 ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION : MEMBERS 1ST FCU ACCOUNT NO . : 53038-11 TYPE OF ACCOUNT: ( ) SAVINGS ( X) CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 01-02-1985 Account Balance .00 NOTE: TO ENSURE PROPER CREDIT TO YOUR Percent Taxable X 0.500 ACCOUNT, SUBMIT THE UPPER PORTION Amount Subject to Tax .00 OF THIS NOTICE WITH YOUR TAX Debts and Deductions - .00 PAYMENT TO THbREGISTEEZOF WItdLS Taxable Amount .00 AT THE ADDRESS=SOWN ABfTVE.� n Tax Rate X •045 MAKE CHECK ORTJOWy OR P F�''fKBLE Tax Due .00 TO: "REGISTERnvt! WILLS, AQA1j', TAX CREDITS : i M v PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID Z - O � DATE NUMBER INTEREST/PEN PAID (-) p O -V -n T C.) T T r r' m w C/) T 0 TOTAL TAX PAYMENT . DO BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL -DUE nn 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. - �1` V' REV4410 EX(0140) pennsylvania INHERITANCE TAX i DEPARTMENT OF REVENUE EXPLANATION BUREAU OF INDIVIDUAL TAXES OF CHANGES PO Box 280601 DECEDENTS NAME FILE NUMBER Christa Shirey 2112-0752 REVIEWED BY ACN James (Agent 197) 12142290 ITEM SCHEDULE NO. EXPLANATION OF CHANGES Above-referenced ACN is being adjusted to reflect zero tax due since it has been reported on the probate return. Page 1 INHERITANCE TAX RECORD ADJUSTMENT pennsylvania JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES -- INHERITANCE TAX DIVISION REV-1604 EX AFT (12-13) PO BOX 280601 HARRISBURG PA 17128-0601 DATE 03-24-2014 ESTATE OF SHIREY CHRISTA DATE OF DEATH 07-07-2012 FILE NUMBER 21 12-0752 COUNTY CUMBERLAND SSN/DC THOMAS N SHIREY ACN 12142291 R D 10 BOX 103 Amount Remitted CARLISLE PA 17013 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 F ----------------—--------------_---------_-----------—---_-------------_—------—----------_-_—__.__._._.�.._.___—.____—__—__.___'-___._ REV-1604 EX AFP (12-13) INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS :( DATE: 03-24-2014 ESTATE OF: SHIREY CHRISTA DATE OF DEATH: 07-07-2012 COUNTY: CUMBERLAND FILE NO. : 21 12-0752 S.S/D.C. NO. : ACN: 12142291 ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 53038-05 TYPE OF ACCOUNT: ( X) SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 10-02-1985 Account Balance • 00 NOTE: TO ENSURE PROPER CREDIT TO YOUR Percent Taxable X 0.500 ACCOUNT, SUBMIT THE UPPER PORTION Amount Subject to Tax . 00 OF THIS NOTICE WITH YOUR TAX Debts and Deductions .00 PAYMENT TO THE REGISTER OF WILLS Taxable Amount .00 AT THE ADDRESS& SHOWN A�@VE Tax Rate X .045 MAKE CHECK ORcf4ObdEY ORf�ER OY" Tax Due •00 T0: "REGISTEfM8 WILL AOR NM,LE TAX CREDITS: m = m m PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID r rn -J 'R1 DATE NUMBER INTEREST/PEN PAID (-) �J• p O p O --n -T & * rn O — & m v ca r O D' C=> -^ 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. V ftEV-titO E%(Oi-1D} r'. pennsylvania INHERITANCE TAX DEPARTMENT OF REVENUE EXPLANATION BUREAU OF INDIVIDUAL TAXES OF CHANGES PO BOX 280601 HARE15BURG,PA Bs DECEDENT'S NAME FILE NUMBER Christa Shirey 2112-0752 REVIEWED BY James (Agent 187) ACN 12142291 ITEM SCHEDULE NO. EXPLANATION OF CHANGES Above-referenced ACN is being adjusted to reflect zero tax due since it has been reported on the probate return. Page 1