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12-17-10
((rr''' ~ y.. ! ~ _ ~... BUREAU OF INDIVIDt1Ai,(+fiAXr„~S '~.~`,~ 1 INHERITANCE TAX DIVlS~{[~it# v ' PO BOX 280601 HARRISBURG PA 17128-0601 iQIO QEC 17 PM 12~ 52 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS GLERK OF ORPHAN"S, GG r~jPA; CU4~~.,~~?~ LNG .~ CHRISTINE A JOHNSON ' 322 ELMONT CIR SHIPPENSBURG PA 17257 pennsylvania ~ DEPARTMENT OF REVENUE REV-1546 IX AFP C12-10) DATE 12-20-2010 ESTATE OF LINARD KAREN L DATE OF DEATH 08-04-2010 1 (~ FILE NUMBER ~~" I~~O"~© COUNTY CUMBERLAND SSN/DC 194-38-5021 ACN 10150982 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 SQUARE CARLISLE PA 17013 CUT ALONG TH I S L INE ~ _ _RETAIN _LOWER -PORTION _FOR _YOUR -RECORDS _ - ~'_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ REV-1548 EX AFP C12-10) DEDUCTIONSINANDIASSESSMENTAOFRTAXEONNJOINTLYWHELD OR TRUSTLASSETS OF DATE: 12-20-2010 ESTATE OF:LINARD KAREN L DATE OF DEATH:08-04-2010 COUNTY:CUMBERLAND S.S/D.C. NO.: 194-38-5021 ACN: 10150982 FILE NO.: TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION ACCOUNT NO.: 660043 FINANCIAL INSTITUTION: ORRSTOWN BANK TYPE OF ACCOUNT: C )SAVINGS (X) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 04-08-2008 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: PAYMENT RECEIPT DATE NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) 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." AMOUNT PAID 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. _ ____ ..~ ~++r~ CnDM FoR INSTRUCTIONS. 2,198.88 X 0.500 1,099.44 _ 6,617.96 .00 .045 .00