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~~~~~~~ ~~~"#~j~ 4. NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL ~ a ~.,.! DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~fi' ~± €^ j•,~ ~~,~ ~ F~itRAISEMENT, ALLOWANCE OR DISALLOWANCE
Po Box 280601 ~TC~M~;zi~°a ~~~~ ~~'-~~~DEDUCTiONS, AND ASSESSMENT OF TAX ON REV-1548 IX AFP ci2-10)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
~~~~ ~~~ 2"~ P ~; ~ ~ DATE 12-27-2010
ESTATE OF CHUBB JOSEPHINE
DATE OF DEATH 09-13-2010
~..~~K(~~ FILE NUMBER 21 10-1153
~~~~-~ ~r{.~~~T COUNTY CUMBERLAND
SUSAN M ~~~~~-'~'`~~ ~~" ~~' ACN/DC 10156777827
606 SOUTH MOUNTAIN ROAD APPEAL BY DATE:02-25-2011
D I L L S B U R G P A 17 019 (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 C12-10~
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 12-27-2010
ESTATE OF:CHUBB JOSEPHINE DATE OF DEATH:09-13-2010 COUNTY:CUMBERLAND
FILE NO.: 21 10-1153 S.S/D.C. NO.: 201-16-2827 ACN: 10156777
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 20585-00
TYPE OF ACCOUNT: CX3SAVINGS C ~ CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 06-02-1978
Account Balance 1,628.13 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 271.36 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 271.36 REGISTER OF WILLS .AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 12.21 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
11-19-2010 CD013678 .61 12.21
TOTAL TAX PAYMENT 12.82
BALANCE OF TAX DUE .61CR
INTEREST AND PEN. .00
TOTAL DUE .61CR
* 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.