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BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
~~~'~~~-( OTC HERITANCE TAX
TAXES ~~~,ppRAIS~M~NT,,"~L~OWANCE OR DISALLOWANCE
t'Q`U.+.:,DEDUCTLpNS,~i(A D ASSESSMENT OF TAX ON
JOINTLY F1EL~ OR TRUST ASSETS
BARBARA J KAUFFMAN
6214 CHARING CROSS
MECHANICSBURG PA
pennsylvania .v, ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-11)
DATE 04-1b-2012
-"~'~- '~' ~ ~ ~ F'~'~ ~~' ~='J ESTATE OF COULTER LOIS C
DATE OF DEATH 11-22-2011
CLERK 0~ FILE NUMBER 21 11-1364
ORPN~~N'E ~ i j yz COUNTY CUMBERLAND
0 ~ SSN/DC 210-26-2037
CUM~,F~=' ,.,,~fd''; {;0. PA AcN 11181os1
APPEAL BY DATE:06-15-2012
17 0 5 0 - 52 0 5 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
~ RETAIN LOWER PORTION FOR YOUR RECORDS-_~___________________
CUT ALONG THIS LINE ___________________________________________
REV-1548 EX AFP C12-11)
DEDUCTIONSINANDIASSESSMENTAOFRTAXEONNJOINTLYWHELD OR TRUSTLASSETS OF
DATE: 04-16-2012
ESTATE OF:000LTER LOIS C DATE OF DEATH:11-22-2011 COUNTY:CUMBERLAND
ACN: 11181081
FILE NO.: 21 11-1364 S.S/D.C. NO.: 210-26-2037
TAX RETURN WAS: C ) ACCEPTED AS FILED CX) CHANGED SEE ATTACHED NOTICE
JOINT OR TRUST ASSET INFORMATION
ACCOUNT NO.: 3623-51319
FINANCIAL INSTITUTION: FULTON BANK NA
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 09-10-2007
80,168.82
Account Balance 0.500
Percent Taxable X
40,084.41
Amount Subject to Tax _ .00
Debts and Deductions 40,084.41
Taxable Amount ,045
Tax Rate 1,803.80
Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-)
72.38
12-21-2011 CD015383
PAYMENT MUST BE MADE BY 08-23-2012*.
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
1,375.24
TOTAL TAX PAYMENT 1,447.62
BALANCE OF TAX DUE 356.18
INTEREST AND PEN. .00
TOTAL DUE 35b.18
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
RI_V-1 W ~X (01-10)
~ pennsylvania INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601
R I P 1
DECEDENT'S NAME FILE NUMBER
Lois C Coulter 2111-1364
REVIEWED BY
Eunice Baker
11181081
ITEM
SCHEDULE NO, EXPLANATION OF CHANGES
The pre-paid funeral deductions submitted have been disallowed.
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