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DEPARTMENT OFREVENU
„- r,i`Y(~~ ~ NOTICE OF INHERITANCE TAX
;i° J REV-1548 EX AFP (12-10)
~~~ ''~~ ` `~" ' ~` ~"~ ISEMENT ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TA~~~w,~ ~.•~~-
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INHERITANCE TAX DIVISION L~~:~;'~;..:• ~ ~- ~P~{~~~ DUCTIONS, AND ASSESSMENT OF TAX ON
PO BOX 280601 ~4~u``}`~'' ` `•~ JOINTLY HELD OR TRUST ASSETS
HARRISBURG PA I~12E-0601 ,3 `` DATE 06-13-2011 IZABETH
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OR~~ ~ ~ Q . PA
D AV I D S ~~~~~~
6 EAST GREENHOUSE ROAD
DILLSBURG PA 17019
CAL.VER EL
ESTATE OF
DATE OF DEATH 04-•15-2011
FILE NUMBER CUMBERLAND
COUNTY
SSN/DC 185-16-5437
ACN 11.129176
APPEAL BY DA'TE:08-12-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILL'S
1 COURTHOUSE SCIUARE
CARLISLE PA 17013
PORTION FOR YOUR RECORDS ~ __________
CUT ALONG THIS LINE "'~ --RETAIN-LOWER-------------------------------------'-
ERITANCE TAX APPRAISEMENT, ALLYWHECE OR DISALLOWANCE OF
REV-1548 EX AFP C12-10~ LD OR TRUST ASSETS
NOTICE OF INH
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINT DATE: 06-13-2011
COUNTY:CUMBERLAND
:CALVER ELIZABETH DATE OF DEATH:04-15-2011
ESTATE •F ACN: 1112~17G
FILE NO.: 21 11-0558 S.S/D.C. NO.: 185-16-5437
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED ION
JOINT OR TRUST ASSET INFORMA 11450-11
ACCOUNT NO.:
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
C SAVINGS C ~ CHECKING C TRUST C )TIME CERTIFICATE
TYPE OF ACCOUNT:
DATE ESTABLISHED 12-14-2009
505.32 NOTE: TO ENSURE PROPER CREDIHETO
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X 0.166
84.22
- .00
84.22
.045
3.79
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
06-06-2011 SBADJUST
DISCOUNT C+)
INTEREST/PEN PAID C-)
.00
YOUR ACCOUNT, SUBMIT T
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."
AMOUNT PAID
3.79
---- 3.7 9
TOTAL TAX PAYMENT ,00
BALANCE OF TAX DUE ,00
INTEREST AND PEN. ,00
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVCREDITORCCR)CUYOUIMAYOBEADUETAOREFUNDTEREST. ~
IF TOTAL DUE IS REFLECTED AS A
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.