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HomeMy WebLinkAbout06-23-14 INHERITANCE TAX RECORD ADJUSTMENT pennsylvania JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES - - INNERITANCE TAX DIVISION REV-1604 EX AFP (12-03) PO BOX 280601 HARRISBURG PA 17128-0601 DATE 06-12-2014 ESTATE OF SILO LUCILLE C DATE OF DEATH 09-08-2011 FILE NUMBER 21 11-1081 COUNTY CUMBERLAND SSN/DC DANIEL SILO ACM 11163458 844 ALLENVIEW DR Amount Remitted MECHANICSBURG PA 17055-6183 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 (12-13) INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS DATE: 06-12-2014 ESTATE OF: SICO LUCILLE C DATE OF DEATH: 09-08-2011 COUNTY: CUMBERLAND FILE NO. : 21 11-1081 S.SID.C. NO. : 109-20-8934 ACN: 11163458 ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: FULTON BANK NA ACCOUNT NO. : 1372-01010 TYPE OF ACCOUNT: ( X) SAVINGS t ) CHECKING t ) TRUST C ) TIME CERTIFICATE DATE ESTABLISHED 03-22-2011 Account Balance •00 NOTE: TO ENSURE PROPER CREDIT TO YOUR Percent Taxable X 1 .000 ACCOUNT, SUBMIT THE UPPER PORTION Amount Subject to Tax •Do OF THIS NOTICE WITH YfgJ? TAX Debts and Deductions .00 PAYMENT TO THL� REGISTER: OF,—WI-4LS Taxable Amount .00 AT THE ADDRESS- MOWN ASOVE:j INHERITANCE TAX JOINTLY HELD DJ TRUST ASSETS � ennsyLvania BUREAU OF INDIVIDUAL TAXES __ . DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION REV-1604 IX AFP (12-13) PO BOX HARRISBURG URG PA PA 17128•0601 DATE 06-12-2014 ESTATE OF SICO LUCILLE C DATE OF DEATH 09-08-2011 FILE NUMBER 21 11-1081 COUNTY CUMBERLAND SSN/DC DANIEL SICO ACN 11163457 844 ALLENVIEW DR Amount Remitted MECHANICSBURG PA 17055-6183 _ MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE *-9 RETAIN LOWER PORTION FOR YOUR RECORDS E-- --.—a--.--_--°-„”---_'"-------- ------- ------------------------------------------------------------------------------- ---"- REV-1604 EX AFP {12-133 *■ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS *x DATE: 06-12-2014 ESTATE OF: SICO LUCILLE C DATE OF DEATH: 09-08-2011 COUNTY: CUMBERLAND FILE NO. : 21 11-1081 S.S/D.C. NO. : 109-20-8934 ACN: 11163457 ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: FULTON BANK NA ACCOUNT NO . : 3624-75525 TYPE OF ACCOUNT: ( ) SAVINGS (X) CHECKING f J TRUST { } TIME CERTIFICATE DATE ESTABLISHED 03-22-2011 Account Balance. .00 NOTE: TO ENSURE PROPER CREDIT TO YOUR Percent Taxable X 1 .000 ACCOUNT, SUBMIT THE UPPER PORTION Amount Subject to Tax .00 OF THIS NOTICE WITH YOUR TAX Debts and Deductions .00 PAYMENT TO THEcc��REGISTER22F WILLS Taxable Amount •00 AT THE ADDRESSa HOWN ABDME. :z) 70 Tax Rate X • 045 MAKE CHECK OR WONKY ORDER PC'ABLE y) Tax Due • 00 70: "REGISTERF FZWJ+LS.�AGENT„�• TAX CREDITS : W PAYMENT RECEIPT DISCOUNT C+) .••. n '� DATE NUMBER INTEREST/PEN PAID {-) AMOUNT PAID - C7 -TI 'TI .} F� es F7! F- ,`•t r­ C!) C7 W -T) 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. INHERITANCE TAX pennsylvarna BUREAU OF INDIVIDUAL TAXES RECORD ADJUSTMENT INHERITANCE TAX DIVISION DEPARTMENT OF REVENUE PO BOX 280601 BENEFICIARY FORM ASSETS _-' REV-160AA EX AFP (12-13) HARRISBURG PA 17128-0601 DATE 06-12-2014 ESTATE OF SICO LUCILLE C DATE OF DEATH 09-08-2011 FILE NUMBER 21 11-1081 DANIEL SICO COUNTY CUMBERLAND SSM/Dc 844 ALLENVIEW DR ACN 12500017 MECHANICSBURG PA 17055-6183 Amount RemYttotl MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE --1 RETAIN LOWER PORTION FOR YOUR RECORDS E— --"--°°--°-------- -----------'-- ---'--"-------------------------------------------------------------------------------'--------------------------- REV-1604A -EX AFP (12-13) ■ INHERITANCE TAX RECORD ADJUSTMENT BENEFICIARY FORM ASSETS x■ DATE: 06-12-2014 ESTATE OF: SICO LUCILLE C DATE OF DEATH: 09-08-2011 COUNTY: CUMBERLAND FILE NO. : 21 11-1081 S.S/D.C. NO. : 109-20-8934 ACN: 12500017 ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION BENEFICIARY FORM ASSETS NAME OF SECURITY: METLIFE ACCOUNT NO . : 806195528819 TYPE OF ACCOUNT: C ) SECURITIES ( 1 SEC ACCT (X) STOCK t } BOND N DOD Valuation, .00 NOTE: TO ENSURE Pl�9PER CRED 'T TO Percent Taxable X D.DOO ACCOUNT, SUEg4Ib THE ?PERVJIGRRTION Amount Subject to Tax .00 OF THIS NOT14E41TH `T flJR TJI Debts and Deductions - .00 PAYMENT TO "W I;#ISTU OFiw,fLLS Taxable Amount .OD AT THE ADDRESS�S HO.WN QIBOYE; C) Tax Due X .045 MAKE CHECK OR_ MMEV ORDERCPA' )ABLE Tax Rate .DO TO: "REGISTER) OF WVILLN AGENT." TAX CREDITS : c> t—• I` M PAYMENT RECEIPT DISCOUNT (+) —{ /-� DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID -0 r -n co TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE QO INTEREST AND PEN. .00 TOTAL DUE .00 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. ,\{\� pennsylvania DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1687 EX AFP (1243) IMNERIT Tnz DIVISION 2806 PO BOX 280601 STATEMENT OF ACCOUNT HARRISBURG PA 1712E-0601 DATE 06-16-2014 ESTATE OF SICO LUCILLE C DATE OF DEATH 04-08-2011 FILE NUMBER 21 11-1081 COUNTY CUMBERLAND DANIEL SICO ACN 11163457 844 ALLENVIEW DR Amount Remitted MECHANICSBURG PA 17055-6183 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS I 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— REV-1607 EX AFP (12-13) R*X INHERITANCE TAX STATEMENT OF ACCOUNT **■ ESTATE OF:SICO LUCILLE C FILE NO. : 21 11-1081 ACN: 11163457 DATE: 06-16-2014 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: 06-11-2014 PRINCIPAL TAX DUE: .00 PAYMENTS (TAX CREDITS) : PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-> AMOUNT PAID o C s ( i ni n C 70 Q ..( rr— t— r 0 Ftl CT7 ... f%T <-, <} ..� _Tt C) _ r~� M r c n TOTAL TAX PAYMENT .00 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. pennsylvania DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13) INHERITANCE TAX DIVISIOH STATEMENT OF ACCOUNT PO BOX 280601 HARRISBURG PA 17128-0601 DATE 06-16-2014 ESTATE OF SICO LUCILLE C DATE OF DEATH 09-08-2011 FILE NUMBER 21 11-1081 COUNTY CUMBERLAND DANIEL SICO ACN 11163458 844 ALLENVIEW DR Amount Remitted MECHANICSBURG PA 17055-6183 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 t— REVF -1d07 EX AFP C12-135 xxx INHERITANCE TAX STATEMENT OF ACCOUNT ��� ESTATE OF:SICO LUCILLE C FILE NO. : 21 11-1081 ACN: 11163458 DATE: 06-16-2014 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: 06-11-2014 PRINCIPAL TAX DUE: .00 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID n s rn c m c-� G-� CD p C a a r ry RI m ('''1 w YD ° v) C�, c> C3 n C3 =D -,n "-nt't o o c -n ) r- M, r rn TOTAL TAX PAYMENT .00 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. [ pennsylvania DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13) IN ERITAN 06 Tax DIVISION STATEMENT OF ACCOUNT PO BOX URG PA HARRISBURG PA 17128-0601 DATE 06-16-2014 ESTATE OF SICO LUCILLE C DATE OF DEATH 09-08-2011 FILE NUMBER 21 11-1081 COUNTY CUMBERLAND DANIEL SICO ACN 12500017 844 ALLENVIEW DR Amount MECHANICSBURG PA 17055-6183 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-- E - - - _ _ _ _ _ - - - - - - " " - - - - " " ' - - - " " - REV-1607 EX AFP C12-13) �(�� INHERITANCE TAX STATEMENT OF ACCOUNT ��� ESTATE OF:SICO LUCILLE C FILE NO. : 21 11-1081 ACN: 12500017 DATE: 06-16-2014 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: 06-11-2014 PRINCIPAL TAX DUE: .00 PAYMENTS (TAX CREDITS) : PAYMENT RECEIPT ' DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) N n C=- s rn C- rn ry c� ,o N T m - rn w a o C' o 0 to o =D -'n '-n o �l 'n m D TOTAL TAX PAYMENT .00 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. 1'