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BUREAU OF INDIVIDUAL
AXES
INHERITANCE TAX DIVISION ~r-~'~-i- ?
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NOTICE
~
~+{~ PRAISEMENT, OF INHERITANCE TAX
ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
,
PO BOX 280601 ~
~"~"OF DEDUCTIONS,
AND ASSESSMENT OF TAX ON REY-1548 EX AFP (12-10)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
'_'~ ? ...i~,l~. ;:; ~ ~+1 ~ ~ .~ DATE 08-01-2011
TRUDY ADAMS
6 LOCUST HOLLOW LANE
CARLISLE PA 17015
ESTATE OF STONE LEE N
DATE OF DEATH 03-25-2011
FILE NUMBER 21 11-0667
COUNTY CUMBERLAND
SSN/DC 187-16-4255
ACN 11123004
APPEAL BY DATE:09-30-2011
(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 F~
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: 08-01-2011
ESTATE OF:STONE LEE N DATE OF DEATH:03-25-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-0667 S.S/D.C. NO.: 187-16-4255
ACN: 11123004
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JDINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 123010-44
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING ( )TRUST (X)TIME CERTIFICATE
DATE ESTABLISHED 08-04-1992
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
5,012.06 NOTE:
X 0.500
2,506.03
- .00
2,506.03
x .045
112.77
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 C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
06-13-2011 CD014560 5.64 107.13
TOTAL TAX PAYMENT 112.77
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION DF ADDITIONAL INTEREST. ^
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YDU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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