HomeMy WebLinkAbout05-23-14 r pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12.13)
INHERITANCE TAX nlvlstox
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 05-19-2014
ESTATE OF KAMINSKI DOROTHY E
DATE OF DEATH 05-24-2010
FILE NUMBER 21 12-0200
COUNTY CUMBERLAND
FRANK KAMINSKI IV ACN 11117612
133 FINEVIEW RD
CAMP HILL PA 17011-8447 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 form with your tax payment.
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS 4-
REY-I607
ESTATE OF:KAMINSKI DOROTHY E FILE NO. : 21 12-0200 ACN: 11117612 DATE: 05-19-2014
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 05-15-2014
PRINCIPAL TAX DUE: 55.97
PAYMENTS (TAX CREDITS):
5=
PAYMENT RECEIPT DISCOUNT (+} AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-3 --- :X3 rn
M C-)
06-30-2012 CDO16200 2.25- 58.22 - c>
p
05-12-2014 SBADJUST .00 .01 M - t'> � --i p
r r- r0 rn M
r m ca
n : � o
o T- M o w 0 o
TOTAL TAX PAYMENT 55.97
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
• IF PAID AFTER THIS DATE, SEE REVERSE SIDE 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.
NOON
INNON
INHERITANCE TAX pennsylvania
RECORD ADJUSTMENT
" JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION REV-1604 EX AFP (12-13)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 05-16-2014
ESTATE OF KAMINSKI DOROTHY E
DATE OF DEATH 05-24-2010
FILE NUMBER 21 12-0200
COUNTY CUMBERLAND
SSN/DC
FRANK KAMINSKI IV ACN 11117612
133 FINEVIEW RD
Amount Remitted
CAMP HILL PA 17011-8447
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE --b- RETAIN LOWER PORTION FOR YOUR RECORDS +—
...-___._____________._.__________��__._________
REV-1604 EX AFP (12-13)
:(■ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS X*
DATE: 05-16-2014
ESTATE OF: KAMINSKI DOROTHY E DATE OF DEATH: 05-24-2010 COUNTY: CUMBERLAND
FILE NO. : 21 12-0200 S.S/D.C. NO. : ACN: 11117612
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO. : 1055540239
TYPE OF ACCOUNT: ( ) SAVINGS C ) CHECKING ( X) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 03-03-2006
Account Balance 1,243.71 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 1 .000 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax 1,243.71 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions •00 PAYMENT TO THE REGISTER OF WILLS
Taxable Amount 1 ,243.71 AT THE ADDRESSCSHOWN ABOVE. �
Tax Rate X •045 MAKE CHECK OR FMRBY ORDER PA,*AnLE
Tax Due 55.97 T0: "REGI STERaO F_oWILLS�AGTC1'
TAX CREDITS : n r� ry -t c
PAYMENT RECEIPT DISCOUNT (+) �..-`- " FTI
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID _-D W �O
06-30-2012 CDO16200 2.25- 58.22 v C� =1) ,.I� -n
05-12-2014 SBADJUST .00 .01 Q -TI Fes+
r m
.O W 00 O
TOTAL TAX PAYMENT 55.97
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.
1
REV-1470&(01-10)
17 pennsylvania INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION 5/2412010
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601
DECEDENT'S NAME FILE NUMBER
Dorothy E. Kaminski 21 12-0200
REVIEWED BY ACN
Steven James 11117612
ITEM
SCHEDULE No. EXPLANATION OF CHANGES
The tax rate has been adjusted to the lineal rate of 4.5%.
ROW Page 1
RECORD IADJUSTMENT pennsylvania
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TARES -
INHERITANCE TAX DIVISION REV-1604 EX AFP (12-13)
PO BOX 280661
HARRISBURG PA 17128.0601
DATE 05-16-2014
ESTATE OF KAMINSKI DOROTHY E
DATE OF DEATH 05-24-2010
FILE NUMBER 21 12-0200
COUNTY CUMBERLAND
SSN/DC
ZEKE D KAMINSKI ACN 11117613
133 FINEVIEW RD A
mount
HILL PA 17011-8447 `A=ouot Re mftie d�
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 !—
REV-1604 EX AFP (12-13)
x INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS xx
DATE: 05-16-2014
ESTATE OF: KAMINSKI DOROTHY E DATE OF DEATH: 05-24-2010 COUNTY: CUMBERLAND
FILE NO. : 21 12-0200 S.S/D.C. NO. : ACN: 11117613
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO. : 1055540247
TYPE OF ACCOUNT: ( ) SAVINGS ( ) CHECKING OO TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 03-03-2006
Account Balance 1,187.16 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 1.000 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax 1,187.16 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions •00 PAYMENT TO THE REGISTER OF WILLS
Taxable Amount 1,187. 16 AT THE ADDRESS SHOWN ABOVE.
Tax Rate X •045 MAKE CHECK OR MONEY ORPU PAYABLE
Tax Due 53.42 TO: "REGISTE"F WILL AG�yw"
TAX CREDITS: _° :3 crn, o
PAYMENT RECEIPT DISCOUNT C+) ;,O
DATE NUMBER INTEREST/PEN PAID I-) AMOUNT PAID F(1 C"3 C7
04-14-2012 CDO15849 .00 53.42 i-- "- I– r0 `i m
05-12-2014 SBADJUST .00 1 .82
"n
Z3
r- rn
TOTAL TAX PAYMENT 53.42
BALANCE OF TAX DUE DO
INTEREST AND PEN. .0
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. 1
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etV-+araiX(o+-+a7
pennsylvarn•a INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION 5/24/2010
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 286601
HARB&AUBQ,PA 1712"601
DECEDENT'S NAME FILE NUMBER
Dorothy E. Kaminski 21 12.0200
REVIEWED BY ACN
Steven James 11117613
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
The tax rate has been adjusted to the lineal rate of 4.5%.
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ROW Page 1
INHERITANCE TAX
• JOINTLY HELD OR TRUST ASSETS pennsytvan
BUREAU OF INDIVIDUAL TAXES
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION REV-1604 EX AFP (12-13)
PO ROX 280601
HARRISBURG PA 17128-0601
DATE 05-16-2014
ESTATE OF KAMINSKI DOROTHY E
DATE OF DEATH 05-24-2010
FILE NUMBER 21 12-0200
COUNTY CUMBERLAND
LAUREN S KAMINSKI SSN/DC
ACN 11117614
133 FINEVIEW RD Amount Remitted
CAMP HILL PA 17011-8447 —
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 4—
-_—------—.._._.................. --------------------------- --------------------
...._.__�
REV-1604 EX AFP (12-133
* INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS
DATE: 05-16-2014
ESTATE OF: KAMINSKI DOROTHY E DATE OF DEATH: 05-24-2010 COUNTY: CUMBERLAND
FILE NO. : 21 12-0200 S.S/D.C. NO. : ACN: 11117614
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO. : 1055540254
TYPE OF ACCOUNT: C J SAVINGS C ) CHECKING ( X) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 03-03-2006
Account Balance 1,130.64 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 1 .000 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax 1,130.64 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - •00 PAYMENT TO THE REGISTER OF WILLS
Taxable Amount 1, 130.64 AT THE ADDRESS SHOWN A&YWE. ;,,
Tax Rate X .045 MAKE CHECK OR I@ EY ORDE'R P/-Y,,ARE
Tax Due 50.88 TO: "REGISTER 3oF;7,J'RILLS;3AGE-RTC:P
TAX CREDITS:
CJ ;77 I t=7 D Frl
PAYMENT RECEIPT DISCDUNT C+) '-'� ;,? I— FFlo TT
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID Fn
04-14-2012 CDO15849 .00 50.87 �- a?
n
05-12-2014 SBADJUST .00 n
1.74 o C� :3
Fn
q
s
TOTAL TAX PAYMENT 50.88
BALANCE OF TAX DUE 0
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. `
REV-taro EX(01-10)
Ka •pennsytvanla INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION 5124/2010
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601
PA 17128.0601
DECEDENT'S NAME FILE NUMBER
Dorothy E. Kaminski 21 12-0200
REVIEWED BY ACN
Steven James 11117614
ITEM
SCHEDULE NO, EXPLANATION OF CHANGES
The tax rate has been adjusted to the lineal rate of 4.5%.
Row Page 1