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BUREAU OF INDIVIDUAL TAXES 1 INHERITANCE TAX
INHERITANCE TAX DIVISION ~ ~P,~~i1~I5~'kE-J~ni'~,'~LLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-11)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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ANTHONY W MONROE
240 E STREET
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CARLISLE PA 17013
04-23-2012
ESTATE OF MONROE DAWN M
DATE OF DEATH 08-19-2011
FILE NUMBER 21 11-1275
COUNTY CUMBERLAND
SSN/DC
ACN 11159140
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 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: 04-23-2012
ESTATE OF:MONROE DAWN M DATE OF DEATH:08-19-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-1275 S.S/D.C. NO.: ACN: 11159140
TAX RETURN WAS: fX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCDUNT NO.: 135068-11
TYPE OF ACCOUNT: C )SAVINGS (X) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 10-18-2007
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
03-02-2012 CD015689
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."
DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
.00 24.77
TOTAL TAX PAYMENT 24,77
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ 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.
1,100 81 NOTE:
X 0.500
550 41
- .00
550 41
Y 045
24 77