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~~ ~' ''! NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TpG~C~S • ~`- (~} '"
' DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION `a4PRR~ISEMENT, ALLOWANCE OR DISALLOWANCE }
PO BOX 280601 REW-1548 EX AFP C12-10) r
HARRISBURG PA 17128-0601 - - __ •, :~~ SEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
CL~F?K ~'~
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RICHARD E C~~~~~'''`•q~ ~;':l ~r~.
158 SPRUCE HOLLOW RD
CONNELLSVILLE PA 15425
DATE 04-11-2011
ESTATE OF STOUFFER AMY E
DATE OF DEATH 11-21-2010
FILE NUMBER _ ii ~%'
COUNTY ~L~MB'~RLAND
SSN/DC 204-03-1478
ACN 11114204
APPEAL BY DATE:06-10-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
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 01=
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 04-11-2011
ESTATE OF:STOUFFER AMY E DATE OF DEATH:11-21-2010 COUNTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: 204-03-1478 ~1CN: 11114204
TAX RETURN WAS: CX1 ACCEPTED AS FILED C ~ CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ACNB BANK ACCOUNT NO.: 5990409
TYPE OF ACCOUNT: C SAVINGS C ) CHECKING C TRUST C)U TIME CERTIFICATE
DATE ESTABLISHED 11-15-1998
Account Balance 2,000.83 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 333.48 UPPER PORTION OF THIS NOTICE
Debts and Deduc tions - 00
Taxable Amount • WITH YOUR TAX PAYMENT TO THE
Tax Rate 333.48 REGISTER OF WI LLS AT THE
Tax Due x .045 ABOVE ADDRESS. MAKE CHECK
15.01 OR MONEY ORDER PAYABLE T0:
TAX CREDITS:
"REGISTER OF W
ILLS, AGENT."
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
PAYMENT MUST BE MADE BY 08-22-2011*. TOTAL TAX PAYM
ENT .00
_
BALANCE OF TAX DUE 15.01
_
INTEREST AND PEN. .00
_
TOTAL DUE 15.01
* IF PAID AFTER THIS DATE, SEE
IF TOTAL DUE IS REFLECTED AS REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
A "CREDIT" CCR)
YOU
SEE REVERSE SIDE
OF THIS FORM ,
MAY BE DUE
FOR INSTRUCTIONS. A REFUND.
~J"