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BUREAU OF INDIVIDUAL T s~~~'~ ~
INHERITANCE TAX DIVISION ~'''C
PO BOX 260601 ~~~ I ~--
HARRISBURG PA 17128-0601
~~!2 ,SUN 15
r , Pennsylvania ~~ ~ - r
~~~[; ~ NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
:~ t~,JMP~P~tAISEMENT, ALLOWANCE OR DISALLOWANCE
'xG~F~-'SEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1546 EX AFP (12-11)
JOINTLY HELD OR TRUST ASSETS
P~ 2~ ~,,~ DATE 06-18-2012
Of~N~~(N/~~j~}:;V1~9 T
O T T I S R NL~~I~TS " ~'" ~"
122 CAMBRIDGE DR
MECHANICSBURG PA 17055-3560
ESTATE OF WILLIAMS DONNA B
DATE OF DEATH 03-12-2012
FILE NUMBER 21 12-0531
COUNTY CUMBERLAND
SSN/DC
ACN 12128706
APPEAL BY DATE:08-17-2012
(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 ~-
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: WILLIAMS
DONNA
B DATE OF DEATH:03-12-2012 COUNTY:CUMBERLAND
FILE NO.: 21 12-0531 S.S/D.C. NO.:
ACN: 12128706
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO.: 5130051685
TYPE OF ACCOUNT: CXISAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 01-29-1990
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
6,770.00
X 0.166
1,128.36
- .00
1,128.36
x .00
.00
NOTE: TO ENSURE PRCIPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAk; 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 C+)
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" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
`Y`om