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BUREAU OF INDIVIDUAL T ~ ~ _ NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIYISIDN ~'`/~(";r~i,~ ! rj-{-f~~P~SSEMENT, ALLOWANCE OR DISALLOWANCE
PD BDX 280601 L ,, ~ ~ ~RQ~I ~,EDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 lii-'..'ih.~~i`.r~ .~r~ t7:_r..'J JOINTLY HELD OR TRUST ASSETS
DELORES C ~ {,rd~``,,a~ ) ""' ~~F
616 HIGHLAND ~~ti'SL~uJIJ~i0., ~/y
CARLISLE PA 17013-4107
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Pennsylvania ~ .
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-11)
DATE 06-25-2012
ESTATE OF COULSON GEORGETTA J
DATE OF DEATH 03-19-2012
FILE NUMBER 21 12-0393
COUNTY CUMBERLAND
SSN/DC
ACN 12122516
APPEAL BY DATE:08-24-2012
(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 ~
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REV-1548 EX AFP C12-11)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 06-25-2012
ESTATE OF:000LSON GEORGETTA J DATE OF DEATH:03-19-2012 COUNTY:CUMBERLAND
FILE NO.: 21 12-0393 S.S/D.C. NO.:
ACN: 12122516
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 157273-05
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 03-08-1996
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
16,049.32
X 0.500
8,024.66
- 3,083.53
4,941.13
x .045
222.35
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 C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
06-06-2012 CD016073 7.15 ~ 135.93
PAYMENT MUST BE MADE BY 12-20-2012*.
TOTAL TAX PAYMENT 143.08
BALANCE OF TAX DUE 79.27
INTEREST AND PEN. .00
TDTAL DUE 79.27
~ 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~Ji