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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 tT � 1 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%. L M m Q ::0 � 0 M _C Fl; �:O `V-"7 fr*1 W rn rn cs o -r1 -n c> v -n � c o C rte- m 4S cn o _c 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