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BUREAU OF INDIVIDUAL TAXES ~~~~'~'~ ~«~~.,~ l,.1~ V CE of INHERITANCE TAX
INHERITANCE TAX DIVISION '"'i*`'~!•" Y °ApR~R/~~ M~FNT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 +Y~~"+'~. E ~ i OF,.''iDE~
HARRISBURG PA 17128-0601 xONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
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V E R NA H G R O F F~~~~ ~~•.
325 WESLEY DR
MECHANICSBURG PA 17055-3511
pennsylvan~a~ ,
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10) ~~~"~~~`~
DATE 06-13-2011
ESTATE OF GROFF KENNETH R
DATE OF DEATH 10-30-2010
FILE NUMBER 21 10-1123
COUNTY CUMBERLAND
SSN/DC 207-34-7041
ACN 11105450
APPEAL BY DATE:08-12-2011
(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 E~
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: 06-13-2011
ESTATE OF:GROFF KENNETH R DATE OF DEATH:10-30-2010
COUNTY:CUMBERLAND
FILE NO.: 21 10-1123 S.S/D.C. NO.:
207-34-7041 ACN: 11105450
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA
ACCOUNT NO.: 5005799555
TYPE OF ACCOUNT: C )SAVINGS CX? CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 12-10-2009
Account Balance •DO NOTE: 'TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500
Amount Subject to Tax YOUR ACCOUNT, SUBMIT THE
.00 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00
Taxable Amount WITH YOUR TAX PAYMENT TO THE
.00 REGISTER OF WILLS AT THE
Tax Rate x 045
Tax Due ABOVE ADDRESS. MAKE CHECK
.00 UR MONEY ORDER PAYABLE T0:
TAX CREDITS: "REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER 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" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.