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BUREAU OF INDIVIDUAL TAXES~~~-}/ {
~ -' __,,,~
~ '~/~ ~"TICE
OF INHERITANCE TAX
Pennsy
vania
INHERITANCE TAX DIVISION ~+
AP P$2 #~EMENT,
ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
`
PO BOX 280601 ~ 'l ~ t 1-~
I3F D~BfF~TIONS,
AND ASSESSMENT OF TAX ON __,_,_
REV-1548 EX AFP (12-10)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
.,w i. Cg ~`t'! ~~ ~~: DATE 08-01-2011
CLERK CF
~~++~~ {ORF'~'AN'~ vOURT
SHARON L SEIB'ER"f''`~'~`-',"n"'~ `'~ pA
5060 CAMBRIDGE BLVD
MECHANICSBURG PA 17050
CUT ALONG THIS LINE ~ RETAIN LOWER PDRTION FOR YOUR RECORDS F~
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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:SEIBERT EMILY E DATE OF DEATH:03-19-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-0668 S.S/D.C. NO.: 186-24-9487
ACN: 11144409
TAX RETURN WAS: fX) ACCEPTED AS FILED C ) CHANGED
FINANCIAL INSTITUTION: PSECU
TYPE OF ACCOUNT: f )SAVINGS
DATE ESTABLISHED 07-08-1994
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax. Rate
Tax Due
TAX CREDITS:
ESTATE OF SEIBERT EMILY E
DATE OF DEATH 03-19-2011
FILE NUMBER 21 11-0668
COUNTY CUMBERLAND
SSN/DC 186-24-9487
ACN 11144409
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
500.00
X 0.500
250.00
- .00
250.00
x .045
11.25
NOTE: 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 (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
rlvrrltrv I Mus 1 !st MAllt BY 12-20-2011* .
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 11.25
INTEREST AND PEN. .00
TOTAL DUE 11.25
~ 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 FDR INSTRUCTIONS.
JOINT OR TRUST ASSET INFORMATION
ACCOUNT NO.: 0186249487-50
C ~ CHECKING f )TRUST fX)TIME CERTIFICATE
i./~