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BUREAU OF INDIVIDUAL TAXES !_ ~'~~ NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE `
POHBOXT280601AX DIVISION ,,` ,4.' ~_.; OF~Pb~ISEMENT, ALLOWANCE OR DISALLOWANCE
DUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-09)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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REBECCA
1406 PRINCETON ROAD
MECHANICSBURG PA 17050
ESTATE OF NEAL JOHN
DATE OF DEATH 01-15-2010
FILE NUMBER 21 10-0238
COUNTY CUMBERLAND
SSN/DC 211-36-4593
ACN 10117988
APPEAL BY DATE:O1-21-2011
(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: 11-22-2010
ESTATE OF:NEAL
JOHN DATE OF DEATH:O1-15-2010
FILE NO.: 21 10-0238 S.S/D.C. NO.: 211-36-4593
ACN: 10117988
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 238830-55
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST C)UTIME CERTIFICATE
DATE ESTABLISHED 08-01-2009
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
2,110.02
X 0.500
1,055.01
- .00
1,055.01
x .045
47.48
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 (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
10-15-2010 CD013515 .00 47.48
TOTAL TAX PAYMENT 47.48
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.