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BUREAU OF INDIVIDUAL TAXES [[~ ~ ((''~i, I t ,r ,1s;t,P ! uTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION !'Ll lw APP#~.~,~ MENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
CLERK CF
Ct1MBERL.>~~~Y1> CC.. PA,,,
THOMAS N FOUST
6011 MOSSY OAKS DR
N MYRTLE BEACH SC 29582
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
DATE 04-18-2011
ESTATE OF FOUST GRACE
DATE OF DEATH 03-10-2010
FILE NUMBER
COUNTY CUMBERLAND
SSN/DC 172-01-7270
ACN 10129081
APPEAL BY DATE:06-17-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
R
CUT ALONG THIS LINE ~'1 RETAIN LOWER PORTION FOR YOUR RECORDS ~--~
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: 04-18-2011
ESTATE OF:FOUST GRACE R DATE OF DEATH:03-10-2010
COUNTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: 172-01-7270
ACN: 10129081
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK
ACCOUNT NO.: 106002563
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 04-26-2002
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
3,496.76
X 0.166
582.80
.00
582.80
Y 15
87.42
DISCOUNT C+)
INTEREST/PEN PAID C-)
INTEREST IS CHARGED THROUGH 04-26-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
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."
AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 87,42
INTEREST AND PEN. 1.03
TOTAL DUE 88.45
~ 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.
BUREAU OF INDIVIDUAL TAXES ~~L,(j~Cl~ ~i ~^{ ~;~~ O~~iCE OF INHERITANCE TAX
INHERITANCE TAX DIVISION r"'~~
PO BOX 280601 Ft~;l,. ~ -< M~'~R~~~ENT, ALLOWANCE OR DISALLOWANCE
HARRISBURG PA 17128-0601 ~' D~' IONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
1.' i f f ~ nf~ n .. n
r. iF~ C (-tt ~ ~ i x:. "~
~,
CLERK ~;=
ORPH.AP~'S C~;R~
ANDREA M FITZ~~f~~~~•'~~~~~~ ~~~, PA,-
4124 WAYNESBORO CT
WOODBRIDGE VA 22193
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-10>
DATE 04-18-2011
ESTATE OF FOUST GRACE
DATE OF DEATH 03-10-2010
FILE NUMBER
COUNTY CUMBERLAND
SSN/DC 172-01-7270
ACN 10129082
APPEAL BY DATE:06-17-2011
(See reverse side under Objections)
ABaount Remitted
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
R
CUT ALONG THIS LINE ~"> RETAIN LOWER PORTION FOR YOUR RECORDS ~
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: 04-18-2011
ESTATE OF:FOUST GRACE R DATE OF DEATH:03-10-2010
COUNTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: 172-01-7270
ACN: 10129082
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK
ACCOUNT NO.: 106002563
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 04-26-2002
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
3,496.76
X 0.166
582.80
.00
582.80
~ 15
87.42
DISCOUNT C+)
INTEREST/PEN PAID (-)
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."
AMOUNT PAID
INTEREST IS CHARGED THROUGH 04-26-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE TOTAL TAX PAYMENT .00
REVERSE SIDE OF THIS FORM BALANCE OF TAX DUE 87.42
INTEREST AND PEN. 1.03
TOTAL DUE 88.45
* 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.