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BUREAU OF INDIVIDUAL ~7kXF, ~ ~' ~~;'° NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~ - ;- , k ,AP,RRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 :;",~ ;;: ;, _;~;',r,' ~',p;F;DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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JUDY A 'RR~-=;'~' , ,~ . ...
106 VALLEY VIEW DR
MECHANICSBURG PA 17050-1538
Pennsylvania i;: ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-09)
DATE 12-06-2010
ESTATE OF POTTEIGER BETTY J
DATE OF DEATH 09-16-2010
FILE NUMBER 21 10-1103
COUNTY CUMBERLAND
SSN/DC 162-22-7185
ACN 10156928
APPEAL BY DATE:02-04-2011
(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 ~
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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: 12-06-2010
ESTATE OF:POTTEIGER
BETTY J DATE OF DEATH:09-16-2010
COUNTY:CUMBERLAND
FILE NO.: 21 10-1103 S.S/D.C. NO.: 162-22-7185 ACN: 10156928
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ~ CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU ACCOUNT NO.: 0162227185-S1
TYPE OF ACCOUNT: ( ~ SAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 05-01-1992
Account Balance 1,740.65 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 870.33 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 870.33 REGISTER OF WILLS AT THE
Tax Rate Y •15 ABOVE ADDRESS. MAKE CHECK
Tax Due 130.55 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
PAYMENT MUST BE MADE BY 06-17-2011*.
TOTAL TAX PAYMENT .DO
BALANCE OF TAX DUE 130.55
INTEREST AND PEN. .00
TOTAL DUE 130.55
* 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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