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Home My WebLink About06-21-10BUREAU OF INDIVIDUAL TAXES ~''~'~'~`'"'•~""~"'~ NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION `' '~~~~ ,LLOWANCE OR DISALLOWANCE PO 9OD( 280681 ' .~,"QF'r"D~pUC ~", AND ASSESSMENT OF TAX ON FYIRRIS'UR8 PA 17128-0601 ~~~f`}`~~ :f`~ ~ HELD OR TRUST ASSETS w i..'1 ~t~~D JUN 2 ~ P~- ~: U~ ROBIN L BURNS ~r~~~~~~ ~~' ~+ 405 MARION'DRIVE LINGLESTOWN PA 17112 ~r~sylvan DEPARTMENT OF REVENUE REY-1548 EX AFP C12-09) DATE 06-21-2010 ESTATE OF MAILEY ROBERT N DATE OF DEATH 04-19-2010 FILE NUMBER 21 10-0539 C©UNTY CUMBERLAND SSN/DC 174-20-1659 ACN 10125683 APPEAL BY DATE:08-20-2010 (See reverse sale gender (~bject~ons) Anount Rowitted C~ MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 CUT ALONG THIS LANE ~ RETAIN LOWER PORTION FOR YOUR RECORDS 4'""' r r r r r r r r r r rr a r r r r r r r r r r r r r r- r r r- r r r r- r r r r r r- r r r r r r r r r r r r r r r r r r-- r r r r r.-- r r- r- r- r r-. r---- REV-154a EX AFP ~12-09) NtlTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONSr AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: - ESTATE OF:MAILEY ROBERT N DATE OF DEATH:04-19-2010 COUNTY:CUMBfRLAND FILE NO.: 21 100539 S.S/D.C. NO.: 174-20-1659 ACN: 10125683 TAX RETI~RN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET FINANCIAL INSTITUTION: MEMBERS 1ST FCU TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST DATE ESTABLISHED 03-09-1988 Account Balance Percent Taxable Anount Subject to Tax Debts and Deductions Taxable Anount Tax Rate Tsx Due 621.33 ~, 0.166 103.56 - .00 103.5b Y •~ 0_ 4.66 T~V P•S L'TTT~~ INFaRMATION ACCOUNT NO.: 100727-00 C )TIME CERTIFICATE 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 t-) AMOUNT PAID 05-22-2010 CI~012787 .23 4.66 TOTAL TAX PAYNENT 4.89 BALANCE OF TAX I?UE .23CR INTEREST AND PLN. .00 TOTAL DUE .23CR * IF PAID AFTER THUS 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 bf THIS FORM FOR INSTRUCTIONS. ~'(~\.