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BUREAU OF INDIVIDUAL TAXES -,, -
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OR DISALLOWANCE DEPARTMENT OF REVENUE F
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INHERITANCE TAX DIVISION 1-;.-~•~~};;~~~ ~,,, A
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AND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-10)
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PO BOX 280601 OF
HARRISBURG PA 17128-0601
OINTLY HELD OR TRUST ASSETS
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ETHEL WEIGLE~
302 N FRONT ST
WORMLEYSBURG PA 17043-1112
ESTATE OF THOMAS ANNA W
DATE OF DEATH 09-30-2010
FILE NUMBER 21 10-1093
COUNTY CUMBERLAND
SSN/DC 240-28-9514
ACN 10159671
APPEAL BY DATE:02-18-2011
(See reverse side under Objections
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE S6IUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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REV-1548 EX AFP C12-10)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 12-20-2010
ESTATE OF:THOMAS
ANNA
COUNTY:CUMBERLAND
FILE NO.: 21 10-1093 S.S/D.C. NO.: 240-28-9514 ACN: 10159671
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU ACCOUNT NO.: 8702318828-C50
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING ( )TRUST CX)TIME CERTIFICATE
DATE ESTABLISHED 02-07-2003
Account Balance 5,214.04 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 869.02 UPPER PORTION OF THIS NOTICE
Debts and Deductions - 869.02 WITH YOUR TAX PAYMENT TO THE
Taxable Amount •00 REGISTER OF WILLS AT THE
Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK
Tax Due •00 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE ~ RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
W DATE OF DEATH:09-30-2010
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ 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 INSTRUCTIDNS.