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03-15-11 (2)
Pennsylvania ~ ~ -, BUREAU OF INDIVIDUAL TAXES ~,~_- NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE ' PO BoX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-10) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS DATE 03-07-2011 ESTATE OF SALMON MICHELLE D DATE OF DEATH 11-20-2010 FILE NUMBER 21 11-007b COUNTY CUMBERLAND _ _ ~_ SSN/DC 160-58-8926 ROBERT C~SALM©~N ~ '``~ ACN 10170858 1014 TUNBRIDGE LN APPEAL BY DATE:05-06-2011 M E C H A N I C S B U R G P A 17 0 5 0- 913 2 (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 ~ ------------------------------------------------------------------------------------------- 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: 03-07-2011 ESTATE OF:SALMON MICHELLE D DATE OF DEATH:11-20-2010 COUNTY:CUMBERLAND FILE NO.: 21 11-0076 S.S/D.C. NO.: 160-58-8926 ACN: 10170858 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PSECU ACCOUNT NO.: 8105968815-S1 TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 06-20-2006 Account Balance 2,006.81 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 334.48 UPPER PORTION OF THIS NOTICE Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 334.48 REGISTER OF WILLS AT THE Tax Rate Y •00 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 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 INSTRUCTIONS. L~