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NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE '
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION
REV-1548 EX AFP C12-09)
PO BOX 280601 f) ASSESSMENT OF TAX ON
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HARRISBURG PA 17128-0601 ~
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J-OINTLY •~HE`~ OR TRUST ASSETS
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-
.:` :, ~ -_ ~ DATE 08-16-2010
~~ 1 ~ U~ I ~ ~~-~ ~ 1 ~ 2
CHRISTINE ERICKSON ~/~} P~'~-~~"~` {^'r
2 MOORELAND AVENUE ~{,1 - ,,,
MT HOLLY SPRINGS PA 17U~5''~ '
ESTATE OF JAKOMAS CHARLOTTE
DATE OF DEATH 09-06-2009
F I L E N UMBER _) ~- ~ ~; ~- C.) ~'S L"~ '~..~
COUNTY CUMBERLAND
SSN/DC 198-30-0612
ACN 09160260
APPEAL BY DATE:10-15-2010
(See reverse side under Objecti~~ns)
Amount Remitted
MAKE CHECK PAYABLE AND REMIIT 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: 08-16-2010
ESTATE OF:JAKOMAS
CHARLOTTE
COUNTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: 198-30-0612 ~ICN: 09160260
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 200824-11
TYPE OF ACCOUNT: C )SAVINGS C ~ CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 01-12-2001
Account Balance 587.93 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 293.97 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TA;~C PAYMENT TO THE
Taxable Amount 293.97 REGISTER OF 1~lILLS AT THE
Tax Rate x .045 ABOVE ADDRES:~. MAKE CHECK
Tax Due 13.23 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAY f'RFTITTC
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT C+)
INTEREST/PEN PAID C-) I
AMOUNT PAID
INTEREST IS CHARGED THROUGH 08-24-2010
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 13.23
INTEREST AND PEN. .11
TOTAL DUE 13.34
~ 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.
DATE OF DEATH:09-06-2009
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