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BUREAU OF INDIVIDUAL TA '("~,I /'~~ NOTICE OF INHERITANCE TAX
tJ~ i~ ,w` ; 1'~ DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION - R1p7jSEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~-"~ ~ (- REV-1548 IX AFP (12-1ll
L~y~ { N~_ y~. i~~ ~DUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 `' ~ JOINTLY HELD OR TRUST ASSETS
,~
RE~2.~~~ ~~ P~~'I Z~ 4z ESTATE OF ULSHB-2012 KAREN M
DATE OF DEATH 03-26-2012
FILE NUMBER 21 12-0453
~"°`°i `~ ~ '-` COUNTY CUMBERLAND
~~~~5 ~:v~n~ SSN/DC
MARK S 8~;~~ ~',Q, ~?~ ACN 12125455
4 LANTERN LN APPEAL BY DATE:08-17-2012
CAMP H I L L PA 17011 - 8456 (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 YDUR 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: 06-18-2012
ESTATE OF:ULSH
KAREN
M DATE OF DEATH:03-26-2012
FILE NO.: 21 12-0453 S.S/D.C. NO.:
COUNTY:CUMBERLAND
ACN: 12125455
TAX RETURN WAS: CX) ACCEPTED AS FILED C ~ CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SUSQUEHANNA VALLEY FCU
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C TRUST
DATE ESTABLISHED 09-22-1977
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
4,074.07
X 0.166
679.03
- .00
679.03
x .00
.00
TAX CREDITS:
ACCOUNT NO.: 1049
( )TIME CERTIFICATE
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 ADDRES'.>. 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. ~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
I.CJ