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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
THERESA L LONCAR
836 SILVER LAKE RD
LEWISBERRY PA
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~~•"•-,',1 '~ NOTI~~.~d~~-INIiERITANCE TAX
APPRA'IS~El1ENf;; `/t~~UOWANCE OR DISALLOWANCE
OF DEDUCTIDNS, AND''ASSESSMENT OF TAX ON
^,~'~~ P~,.JQINTLY HELD OR TRUST ASSETS
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pennsylvania ~; ~ ,
DEPARTMENT OF REVENUE •
REV-1548 EX AFP (12-11) ~~
'' ~-• ~_. DATE 04-23-2012
ESTATE OF POPLASKI MARLENE R
ry C~[•~ (`C DATE OF DEATH 12-21-2011
Ott~Hij,~t;',S Jt~~.~r-~~• FILE NUMBER 21 12-0011
~1JPV~~~~;~,,~'.,!r~ COUNTY CUMBERLAND
"`' ~~~'• r'Q SSN/DC
ACN 12100444
APPEAL BY DATE:06-22-2012
17 3 3 9- 9 7 4 6 (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:POPLASKI MARLENE R DATE OF DEATH:12-21-2011 COUNTY:CUMBERLAND
FILE NO.: 21 12-0011 S.S/D.C. NO.: ACN: 12100444
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 47846-46
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING CX)TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 06-24-2011
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
20,147.42
X 1.000
20,147.42
- .00
20,147.42
x 045
906.63
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 C-)
AMOUNT PAID
PAYMENT MUST BE MADE BY 09-22-2012*. TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 906.63
INTEREST AND PEN. .00
TOTAL DUE 906.63
* 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. n~
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