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A~E._~TA~S ~J'" NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION -- ~~APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 _ .,~OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601
JOINTLY HELD OR TRUST ASSETS
Fr~~i n~
SHARON ~~'~3k1'EN!IC~`~;
405 KAUFF~MAN ST
BOILING SPRINGS PA 17007
Pennsylvania -;~~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10) ~~~-~~-~-
DATE 08-29-2011
ESTATE OF ALSBAUGH DAVID K
DATE OF DEATH 05-16-2010
FILE NUMBER 21 10-0605
COUNTY CUMBERLAND
SSN/DC 193-36-2743
ACN 10156023
APPEAL BY DATE:10-28-2011
(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~
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REV-1548 EX AFP C12-10)-------------------------------------------------
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NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 08-29-2011
ESTATE OF:ALSBAUGH DAVID K DATE OF DEATH:05-16-2010
COUNTY:CUMBERLAND
FILE NO.: 21 10i-0605 S.S/D.C. NO.:
193-36-2743 ACN: 10156023
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BK NA
TYPE OF ACCOUNT: CX}SAVINGS C ) CHECKING ( )TRUST AC )O IME CERTIFICATE72320122
DATE ESTABLISHED 05-30-1997
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
4,029.78
X 0.166
671.64
.00
671.64
~ 15
100.75
DISCOUNT (+~
INTEREST/PEN PAID (-)
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPEI~ PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE: ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REG]STER OF WILLS, AGENT."
AMOUNT PAID
INTEREST IS CHARGED THROUGH 09-06-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE TOTAL TAX PAYMENT .00
REVERSE SIDE OF THIS FORM BALANCE OF TAX DUE 100.75
INTEREST AND PEN. 1.67
TOTAL DUE 102.42
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.