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BUREAU OF INDIVIDUAL TAXES
NHERITANCE TAX DIVISION t ~,; ~~
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INDRA SAXENA
895 CROOKED STICK DRIVE
MECHANICSBURG PA 17050
ESTATE OF SAXENA NARENDRA M
DATE OF DEATH 01-14-2009
FILE NUMBER ~~_~~_ o~Y~~
COUNTY UMB LAND
SSN/DC 524-86-8750
ACN 09134033
APPEAL BY DATE:07-09-2010
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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: 05-10-2010
ESTATE OF:SAXENA
FILE NO.:
NARENDRA M DATE OF DEATH:O1-14-2009
S.S/D.C. NO.: 524-86-8750
COUNTY:CUMBERLAND
ACN: 09134033
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
FINANCIAL
JOINT OR TRUST ASSET INFORMATION
INSTITUTION: WACHOVIA BK NA ACCOUNT NO.: 247402053512832
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST C ~ TIME CERTIFICATE
DATE ESTABLISHED 07-03-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAY f_RFiITT~
30,675.92 NOTE:
X 1.000
30,675.92
- .00
30,675.92
y .00
.00
TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
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" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~ ~
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' r ~ 4 hf'd IC'E OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ' ~' ~ DEPARTMENT OF REVENUE
f "'" " ~c~I~ICI•S~~ N'~, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~=-; +'~~ 1 ~ 1 REV-1548 EX AFP C12-09)
PO BOX 280601 ~ '- ~i~'di-'~ D~~UC~ ~NS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
~~~~~~,Y "~ ~~`~` ~4 DATE 05-10-2010
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INDRA SAXENA ~~~~'~~"~~~ ~~ ~ ,
895 CROOKED STICK DRIVE
MECHANICSBURG PA 17050
ESTATE OF SAXENA NARENDRA M
DATE OF DEATH 01-14-2009
FILE NUMBER ~~ ((~ _ Gt,Q
COUNTY ~MBERLAND
SSN/DC 524-86-8750
ACN 09134034
APPEAL BY DATE:07-09-2010
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
-------------------------------------------------------------------------------------------
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: 05-10-2010
ESTATE OF:SAXENA NARENDRA M DATE OF DEATH:O1-14-2009
FILE NO.:
S.S/D.C. NO.: 524-86-8750
ACN: 09134034
TAX RETURN WAS: CX1 ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BK NA ACCOUNT NO.: 247402113421880
TYPE OF ACCOUNT: C )SAVINGS C ~ CHECKING ( )TRUST CX)TIME CERTIFICATE
DATE ESTABLISHED 06-16-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
5,094.00
X 1.000
5,094.00
- .00
5,094.00
y .00
.00
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
COUNTY:CUMBERLAND
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.