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btICE ~ INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ,
Fi~,14~FRAI~E;M T~
~ LLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
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
~~~"`"'r `~~ ~~`~ ~ ~- DATE 05-21-2012
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LOIS A FARRELL
263 W SOUTH ST
CARLISLE PA 17013-2825
ESTATE OF FARRELL JAMES K
DATE OF DEATH 07-01-2011
FILE NUMBER 21 11-1000
COUNTY CUMBERLAND
SSN/DC 297-14-5377
ACN 12120157
APPEAL BY DATE:07-20-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TD:
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: 05-21-2012
ESTATE OF:FARRELL
JAMES K DATE OF DEATH:07-O1-2011
COUNTY:CUMBERLAND
FILE NO.: 21 11-1000 S.S/D.C. NO.: 297-14-5377 ACN: 12120157
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO.: 4000035641
TYPE OF ACCOUNT: ( ?SAVINGS
DATE ESTABLISHED 11-09-2009
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
CHECKING C )TRUST (X)TIME CERTIFICATE
26,346.14
X 0.083
2,195.42
- .00
2,195.42
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 C-)
AMOUNT PAID
TDTAL 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.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~~~