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UREAU OF INDIVIDUAL TAXE ~ ~~ -,-. L
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INHERITANCE TAX DIVISION ,P-
- DEPARTMENT OF REVENUE
~~p{ piZ$ISEMENT,' ~~IL4~IWANCE OR DISALLOWANCE
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PO BOX 280601 V
li~l='DUCTIO~NS, AND ASSESSMENT OF TAX ON REV-1548 IX AFP (12-11)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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t,0ii lhi~ Zv ~~i. ~ "-DATE 03-26-2012
ESTATE OF MILLS WESLEY A
~ DATE OF DEATH 10-27-2010
CLERK ~F FIL
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E NUMBER ,~ ~ - t 1
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ORPHA{vS ~QL~~?T COUNTY CU
MBERLAND
/DC
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FERNE A MILLS ''
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ACN
11128470
263 ALLEN RD APPEAL BY DATE:05-25-2012
CAR L I SL E PA 17 013 (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 C12-11~--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 03-26-2012
ESTATE OF: MILLS WESLEY A DATE OF DEATH:10-27-2010 COUNTY:CUMBERLAND
FILE NO.:
S.S/D.C. NO.:
ACN: 11128470
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BK NA ACCOUNT NO.: 3000023888057
TYPE OF ACCOUNT: C)C)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 11-15-2001
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
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."
964.00
X 0.500
482.00
- .00
482.00
x .15
72.30
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
~•. ~•~~.+~ ao VIINRVCL ~ 1"IRUUbI'I U4-UJ-LU1L
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 72.30
INTEREST AND PEN. 1.49
TOTAL DUE 73.79
* 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. nn