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Home My WebLink About05-29-12~ r / ~ L ~4 ` ~ Pennsylvania ~ kk BUREAU OF INDIVIDUAL T I`y Ax4-S~ NOTICE I~ ~"~ IC ' DF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION '-RP PRAISEMENT, ALLOWANCE OR DISALLOWANCE PD BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12 -I1) y HARRISBURG PA 17128-a6p'I;r` ~~I L, 117 ~,o, JOINTLY . HELD OR TRUST ASSETS ( ` r, . _ CIY~ f~ %y1 ( U {' ; r CUMtiERLt->fvU CO., PA .. MAYNARD L MARKEL 134 MEADOW TRL DILLSBURG PA 17019-9532 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ----'-'----'---------'----___-----'-------------'-----'-'----------- " -'----------'---'---- REV-1548 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 05-28-2812 ESTATE OF:MARKEL ESTHER E DATE OF DEATH:11-17-2011 COUNTY:CUMBERLAND FILE NO.: 21 12-0365 S.S/D.C. NO.: TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED DATE (15-28-2012 ESTATE OF MARKEL ESTHER E DATE OF DEATH 11-17-2011 FILE NUMBER "e!1 12-0365 COUNTY CUMBERLAND SSN/DC i!02-20-5792 ACN 12122619 APPEAL BY DATE:87-27-2012 (See reverse side under Objections) Amount Renitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 ACN: 12122619 JOINT OR TRUST ASSET INFDRMATION FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.: 1681728567 TYPE OF ACCOUNT: (]O SAVINGS ( ) CHECKING ( )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 10-06-2000 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due 6,424.18 X 0.050 321.21 NOTE: TO ENSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE W I'fH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABI7VE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." TAX CREDITS: 321.21 x .00 .08 PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) gMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. t IF TOTAL DUE IS REFLECTED AS A "CREDIT" (C R), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. [.., , BUREAU OF INDIVIDUAL TAke~4-^"~ ~ ~ NOTICE OF INHERITANCE TAX INHERITANCE TAX OIV ISION ~APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS. AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601""'? qf@ Y UDINTLV HELD OR TRUST ASSETS n( ~,~ CIJMBERiANu CO., ('A MAYNARD S MARKEL 1783 MOUNTAIN VIEW RD MIDOLETOWN PA 17057-3462 Pennsylvania ~ DEPARTMENT OF REVEN UE REV-1548 IX AFP Q2-11) DATE D5-28-2012 ESTATE OF MARKEL ESTHER E DATE OF DEATH 11-17-2011 FILE NUMBER 2'1 12-0365 COUNTY CUMBERLAND ACN 12122618 APPEAL BY 6ATE:07-27-2012 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SpUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS <"' ------------------------------------------------------------------------------------------- REV-1548 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 05-28-2012 ESTATE OF:MARKEL ESTHER E DATE OF DEATH:11-17-2011 COUNTY:CUMBERLAND FILE NO.: 21 12-0365 S.S/D.C. NO.: 202-20-5792 ACN: 12122618 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.: 1681718006 TYPE OF ACCOUNT: ( )SAVINGS (X) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 09-09-1996 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 1,054.37 52.72 - .ao X .045 2.37 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 OISCOU NT C+) INTEREST/PEN PAID C-) pMDUNT PAID 05-21-2012 SBADJUST .00 2.37 TOTAL TAX PAYMENT 2.37 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. 'rr SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. R~~ ,~., , ~ ,, ,. y „~,~ ~., ~,,:.. ~.~~ ~- ~ 7 '-~~~`~ NOTICE OF INHERITANCE TAX BUREAU OF INDIVIDUAL TA !T ~ - ~ ~ V INHERITANCE TAX oIVIS ION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PD BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 1 7128-0 6 0 L~; ii 7~Y ~(~ ri. ~; ` :l JOINTLY HELD OR TRUST ASSETS Pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 IX AFP (12-I1) DATE f15-28-2012 ~-,l ESTATE OF MARKEL ESTHER E Gn~H```~ ~ ~-i%~' ~ FILE NUMBERTH -e!1 12-0365 CUMBERLAP~L~ C~., PA COUNTY CUMBERLAND -` SSN/DC MAYNARD L MARKEL ACN ].2122615 134 MEADOW TRL APPEAL BY DATE:07-27-2012 DILLSBURG PA 17019-9532 (See reverse side underObjectiotts) Amount Renitted 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) N07ICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLDWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 05-28-2012 ESTATE OF:MARKEL ESTHER E DATE OF DEATH:11-17-2011 COUNTY:CUMBERLAND FILE NO.: 21 12-0365 S.S/D.C. NO.: 202-20-5792 ACN: 12122615 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATIdN FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.: 1681718006 TYPE OF ACCOUNT: C )SAVINGS (X) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 09-09-1996 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: L,D54.37 52.72 - .00 X .00 .00 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 TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST ,AND PEN. .00 TOTAL DUE .00 IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ 1. IF TOTAL OUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. I~FCr. ~^ ~^~ ~:~ ;= .,m , t ~ INHERITANCE TAX ~ ~T ~ - Pennsylvania ~ BUREAU OF INDIVIDUAL TAXES ~ r ~-~~ :;~ e_ J EM : f LLOWANCE OR DISALLOWANCE A g A DEPARTMENT OF REVEN UE INHERITANCE TAX DIVISION ( ry! ~,f. P R IS REV-1548 EX AFP (12 -11) PO BDX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 ?~•;n . JOINTLY HELD OR TRUST ASSETS 6:++i ~f~i1 Gj ,'j ~ , .. ~` DATE (15-2 8-2012 (', C^., QF~TJ~'V iti S ~. !~~~. i 1 r C~~F/IQ~~V~I~ CL7.. ~~, MAYNARD S MARKEL 1783 MOUNTAIN VIEW RD MIDDLETOWN PA 17057-3462 ESTATE OF MARKEL ESTHER E DATE OF DEATH ].1-17-2011 FILE NUMBER i!1 12-0365 ..( COUNTY CUMBERLAND SSN/DC ' ACN ].2122614 APPEAL BY [IATE:07-27-2012 (See reverse side under Objections) Amount Renitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 CUT ALONG THIS LINE 1 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: 05-28-2012 ESTATE OF: MARKEL ESTHER E DATE OF DEATH:11-17-2011 COUNTY:CUMBERLAND FILE NO.: 21 12-0365 S.S/D.C. NO.: 202-20-5792 ACN: 12122614 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT N(I.: 0571108016 TYPE OF ACCOUNT: ( )SAVINGS CX) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 01-05-1983 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 2,167.28 X 0.050 108.36 - nn 108.36 x .045 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-) pMDUNT PAID 05-21-2012 SBADJUST .00 4.88 TOTAL TAX PAYMENT 4.88 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. • tlH IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR7, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~C~~ of (r-!it.(~f-., F -t~!!IC B~„ BUREAU OF INDIVIDUAL TAXES ~~~- ~ ,~~ L ~~'-~'l PQIII ISy~DV~~N~ NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION APPRAISEME NT, ALLOWANCE OR DISALLOWANCE REV-1548 EX AFP (12-11) PO BOX 280601 '{+?ir :&:~ C!(1F~;oE'pUGTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 ~"- ~ 5 ~~ ~ " `' j~INTLY HELD OR TRUST ASSETS ~„ :,..,... ,-.- DATE Oi5-28-2012 ~~ ESTATE OF MARKEL ESTHER E ~hYhf~~,~,.'~~.!~r DATE OF DEATH 11-17-2011 CUMEERLfWi:i Ct)., PA FILE NUMBER `e'1 12-0365 COUNTY CUMBERLAND SSN/DC ` MAYNARD L MARKEL ACN 12122611 134 MEADOW TRL APPEAL BY DATE:07-27-2012 DILLSBURG PA 17019-9532 (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 (12-11) NOTICE OF INHERITANCE 7AX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR 7R UST ASSETS DATE: ne-9R-~nl~ ESTATE OF: MARKEL ESTHER E DATE OF DEATH:11-17-2011 COUNTY:CUMBERLAND FILE NO.: 21 12-0365 S.S/D.C. NO.: 202-20-5792 ACN: 12122611 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NG.: 0571108016 TYPE OF ACCOUNT: C )SAVINGS (X) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED OL-05-1983 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due 2,167.28 X 0.050 - .00 108.36 X .00 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." TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF 7AX DUE .00 INTEREST AND PEN. .00 T07AL I)UE .00 IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ b~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCRJ, VDU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. r~';J 'i ~ ~ ~ .- - ~^~ BUREAU OF INDIVIDUAL TAXE gg^^[[~~ 'i ~~i~ V~NOTICE OF INHERITANCE TAX INNERITANLE TAX DIVISION r':L ~„c ~~: L,~ ~- NwPR4'I SEMENL, ALLOWANCE OR DISALLOWANCE PO BOX 260601 -~ D~-~PDULTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS n1i~3 r:...,~aY~9 F„ ti ,~~ l _ CUMBEFLA~^J~ Cu., Fq 4+ DORIS G BARRON 1127 ATLAND DR MECHANICSBURG PA 17055-5365 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1546 IX AFP Q2-lll DATE 05-28-2012 ESTATE OF BARRON FRANKLIN J DATE OF DEATH 01-23-2012 FILE NUMBER 2'1 12-0211 COUNTY C-0MBERLAND SSN/DC ACN 12109501 APPEAL BY DATE:07.27-2012 (See reverse side under ObjecKons) 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 (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: D5-28-2012 ESTATE OF: BARRON FRANKLIN J DATE OF DEATH:O1-23-2012 FILE NO.: 21 12-0211 S.S/D.C. NO.: 186-24-0753 COUNTY:CUMBERLAND ACN: 12109501 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: CITIZENS BANK OF PENNSYLVANIA ACCOUNT NCI.: 6106422323 TYPE OF ACCOUNT: ( )SAVINGS CX) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 05-16-2002 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 112,331.57 X 0.500 56,165.79 56,165.79 X .00 .00 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 GATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX OUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST'. ~ ~Q` IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ,... - ~~ G`~~ ~ „ w ~~~ Pennsylvania ~ BUREAU OF INDIVIDUAL INHERITANCE TAX DIV ISIDN PO BOX 280601 ^ TAXES F G~ I '~; II AP P~~A ~$ MENTE OF DEDUCTIONS, ALLOWANCETORCDISALLOWANCE AND ASSESSMENT OF TAX ON DEPARTMENT OF REVEN UE REV-1548 EX AFP (12 -11) HARRISBURG PA 17128-0601 etc r~ „ I" ,)r JOINTLY H ELD OR TRUST ASSETS DAT 05-28-2012 (,t (~.ih~BEFs,~ti~D CQ1 ~A MAYNARD S MARKEL 1783 MOUNTAIN VIEW RD MIDDLETOWN PA 17057-3462 E ESTATE OF MARKEL ESTHER E DATE of DEATH 1.1-17-2011 FILE NUMBER `e!1 12-0365 COUNTY C:U MBERLAND SSN/DC 202-20-5792 ACN 1.2122622 APPEAL BY DATE:07-27-2012 (See reverse side under 06jections) Amount Renitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SGIUARE CARLISLE PA 17013 CUT ALONG THIS LINE 1 RETAIN LOWER PORTION FOR YOUR RECORDS !-~ REV-1548 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 05-28-2012 ESTATE OF: MARKEL ESTHER FILE NO.: 21 12-0365 S.S/D.C. NO.: ACN: 12122622 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.: 1681728567 TYPE OF ACCOUNT: (X)SAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED LO-O6-2000 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 6,424.18 NOTE: X 0.050 321.21 - .00 Y .045 14.45 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 PAYMENT MUST BE MADE BY 08-18-2012•. TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 14.45 INTEREST AND PEW. .00 TOTAL :DUE 14.45 ~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTERESTf. ~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), VOU MAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. E DATE OF DEATH:11-17-2011 COUNTY:CUMBERLAND i