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BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-09)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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AMY -~ FEL-TON
1102 MARKET STREET
UNIT 7
NEW CUMBERLAND PA 17070
DATE 10-25-2010
ESTATE OF COX PATIRICA A
DATE OF DEATH 11-08-2009
FILE NUMBER 21 09-1065
COUNTY CUMBERLAND
SSN/DC 182-34-4639
ACN 09174415
APPEAL BY DATE:12-24-2010
(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 ~
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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: 10-25-2010
ESTATE OF:COX PATIRICA A DATE OF DEATH:11-08-2009 COUNTY:CUMBERLAND
FILE NO.: 21 09-1065 S.S/D.C. NO.: 182-34-4639 ACN: 09174415
TAX RETURN WAS: (X1 ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 36614-•11
TYPE OF ACCOUNT: C SAVINGS ( ~ CHECKING ( )TRUST C TIME CERTIFICATE
DATE ESTABLISHED 06-12-1989
Account Balance 691.76 NOTE: TO ENSURE PRIJPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 345.88 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TA;K PAYMENT TO THE
Taxable Amount 345.88 REGISTER OF WILLS AT THE
Tax Rate Y .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 15.56 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
INTEREST IS CHARGED THROUGH 11-02-2010
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 15.56
INTEREST AND PEN. .15
TOTAL DUE 15.71
* 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.
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