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BUREAU OF INDIVIDUAL TAXES N0-T~CE
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M OF INHERITANCE TAX
LOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE n
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INHERITANCE TAX DIVISION _ _ APPRAISE
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T, AL 548 EX AFP (12-10)
REV-]
PO BOX 280601 OF DEDUCTI(SNS, AND ASSESSMENT OF TAX ON .
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
°- ~ . '-- DATE 01-31-2011
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KATHRYN A SIMMONSI
65 SUSSEX RD
CAMP HILL PA 17011
ESTATE OF SHANKS JANE M
DATE OF DEATH 02-03-2010
FILE NUMBER 21 10-0447
COUNTY CUMBERLAND
SSN/DC 182-22-8372
ACN 10111153
APPEAL BY DATE:04-O1-2011
(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 YDUR 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: 01-31-2011
ESTATE OF:SHANKS
JANE
FILE NO.: 21 10-0447 S.S/D.C. NO.: 182-22-8372
COUNTY:CUMBERLAND
ACN: 10111153
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: FARMERS 8~ MERCHANTS TRUST CO ACCOUNT NO.: 71-36099
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 11-07-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAY ('RFTITTS
10,b95.49 NOTE:
X 0.500
5,347.75
- .00
5,347.75
Y .15
802.1b
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 (-)
AMOUNT PAID
04-28-2010 CD012668 27.51 522.66
INTEREST IS CHARGED THROUGH 02-08-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
M DATE OF DEATH:02-03-2010
TOTAL TAX PAYMENT 550.17
BALANCE OF TAX DUE 251.99
INTEREST AND PEN. 2.41
TOTAL DUE 254.40
~ 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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