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BUREAU OF INDIVIDUAL TA S ;-!~i;~ NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION `' ~ ~ ~` `- ,~if~R-P~2AISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 1t JOINTLY HELD OR TRUST ASSETS
CLE~~C
GILBERT HALBLEIB
49 TILBURY LN
REEDSVILLE PA 17084-9202
Pennsylvania ~ ~
DEPARTMENT OF REVENUE ?'
REV-1548 EX AFP C12-10)
DATE 03-28-2011
ESTATE OF PENNINGTON BLANCHE E
DATE OF DEATH 11-05-2010
FILE NUMBER 21 11-0085
COUNTY CUMBERLAND
SSN/DC 178-16-4300
ACN 10174127
APPEAL BY DATE:05-27-2011
(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 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: 03-28-2011
ESTATE OF:PENNINGTON BLANCHE E DATE OF DEATH:11-05-2010
FILE NO.: 21 11-0085 S.S/D.C. NO.: 178-16-4300
COUNTY:CUMBERLAND
ACN: 10174127
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO.: 5140049159
TYPE OF ACCOUNT: C )SAVINGS (X) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 03-05-2007
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
91,914.29
X 0.166
15,319.35
- 5,751.01
9,568.34
x .045
430.58
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."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
01-14-2011 CD013930 21.53 409.05
TOTAL TAX PAYMENT 430.58
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" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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