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BUREAU OF INDIVIDUAL TAXES j rs 'TliN7~t}~'C'~ .~j~ INHERITANCE TAX
INHERITANCE TAX DIVISION A~'P_RrkI$EM~Nl`, ~}-LLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
PO BOX 280601 p~D~I~Tp('y ,~•.AND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-o9)
FWRRISBURG PA 17128-0601 t .~' D~, F ` ~ v s ~ ~.~.,
JOINTLY HELD OR TRUST ASSETS
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ANTHONY J PETRULLO ~~^tn ~ ~ ~; j., ~,~,
1129 RANA VILLA AVE
CAMP HILL PA 17011-6931
DATE 12-28-2009
ESTATE OF PETRULLO ROSE C
DATE OF DEATH 08-24-2009
FILE NUMBER 21 09-1112
COUNTY CUMBERLAND
SSN/DC 206-30-8104
ACN 09160773
APPEAL DATE: 02-26-2010
(See reverse side under Objections)
Amount Remitted
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
CUT ALONG THIS LINE '~'~ RETAIN LOWER PORTION FOR YOUR RECORDS F
-------------------------
REV-1548 EX AFP C12-09) ------"--'-'----
---------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE:
ESTATE OF: PETRULLO ROSE C DATE OF DEATH: 08-24-2009 COUNTY: CUMBERLAND
FILE NO.: 21 09-1112 S.S/D.C. NO.: 206-30-8104
ACN: 09160773
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA
ACCOUNT NO.: 000031400337459
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST CX)TIME CERTIFICATE
DATE ESTABLISHED 12-18-2008
Account Balance
Percent Taxable X 27,297.89 NOTE: TO ENSURE PROPER CREDIT TO
Amount Subject to Tax 1 000
27,297.89 YOUR ACCOUNT, SUBMIT THE
Debts and Deductions -
00 UPPER PORTION OF THIS NOTICE
Taxable Amount •
27,297
89 WITH YOUR TAX PAYMENT TO THE
Tax Rate . REGISTER OF WILLS AT THE
x
Tax Due 45
1,228
41 ABOVE ADDRESS. MAKE CHECK
. OR MONEY ORDER PAYABLE T0:
TAX CREDITS: "REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
11-30-2009 CD012057 00
. 1,228.41
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
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.