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^~~~~-.tC~`~ LICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ' -+„-,~~;; •t ? ( ? fop a'~,~ DEPARTMENT OF REVENUE ;
INHERITANCE TAX DIVISION "'~ ~.-/i~P~A-ISLr:~E'~~t.' ~~LOWANCE OR DISALLOWANCE
~~~e ~ r; ~., REV-1548 EX AFP C12-10)
PO BOX 280601 ~rJr `D~~DUCT~: , AND ASSESSMENT OF TAX ON
HARRISBURG PA IrI2a-o6ol ' '~ ;tt31~FT~,~~IELD OR TRUST ASSETS
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888 LANDISBURG RD
LANDISBURG PA 17040
DATE 06-27-2011
ESTATE OF HENRY RUTH A
DATE OF DEATH 12-09-2010
FILE NUMBER 21 11-0491
COUNTY CUMBERLAND
SSN/DC 201-18-5138
ACN 1017357b
APPEAL BY DATE:08-26-2011
(See reverse sidE~ under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQIJARE
CARLISLE PA 1'T013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECI)RDS ~
REV-1548 EX AFP C12-10~
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUS'~ ASSETS
DATE: Ob-27-2011
ESTATE OF:HENRY
RUTH
FILE NO.: 21 11-0491 S.S/D.C. NO.: 201-18-5138
ACN: 10173576
TAX RETURN WAS: CX~ ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: BANK OF LANDISBURG ACCOUNT NO.:
0614432
TYPE OF ACCOUNT: C )SAVINGS C ~ CHECKING C )TRUST C )TIME CI.RTIFICATE
DATE ESTABLISHED 09-07-1979
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
9,584.70
X 0.166
1,597.48
- .00
1,597.48
Y .045
71.89
NOTE: TO ENSURE PROPER CREDIT TO
YODUR ACCOUNT, SUBMIT THE
UPIPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
RE~~ISTER OF WILLS AT THE
AB~JVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REEGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
04-15-2011 CD014322 .00 71.89
A DATE OF DEATH:12-09-2010
TOTAL TAX PAYMENT 71.89
BALANCE 01= TAX DUE .00
INTEREST AND PEN. .00
TOTAL I)UE .00
COUNTY:CUMBERLAND
~ 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.