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BUREAU OF INDIVIDUAL TAXES "_"~"' ~f"' ~({'II~E'0'F INHERITANCE TAX
INHERITANCE TAX DIVISION Il~_iA1~F11~fi4SS6NENFr-ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-D601 ,JOI~'~~.Y~HE,LIj10R TRUST ASSETS
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DOUGLAS EITLER
319 EQUUS DRIVE
CAMP HILL PA 17011
Pennsylvania ~; .~'
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-11)
DATE 04-23-2012
ESTATE OF EITLER MARGARET
DATE OF DEATH 05-10-2011
FILE NUMBER 3 ~ - ~ ~ _ ~~
COUNTY CUMBERLAND
SSN/DC
ACN 11134422
APPEAL BY DATE:06-22-2012
(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 ~
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: 04-23-2012
ESTATE OF:EITLER MARGARET DATE OF DEATH:05-10-2011 COUNTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: ACN: 11134422
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 132112-05
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 04-06-1993
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
15,562.51
X 0.500
7,781.2b
- .00
7,781.26
x 045
350.16
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
rurrn rr.r ... .... . ...___ _.._ _ _
-^~^~.+. +.~ ..n,1nvGL IIIRUUbFi Ub-U1-LO1Z
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 350.16
INTEREST AND PEN. 2.33
TOTAL DUE 352.49
* 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.