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NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION /qfi'~ ~ e a ~PPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 "~f~- tt~„ ~F ~'~'.~UICTI~IN~, AND ASSESSMENT OF TAX ON REV-1548 IX AFP (12-11)
HARRISBURG PA 17128-0601 iJ0'INTL HELD OR TRUST ASSETS
i'•. ~ --
CUMBEF;1~,'VD ~C~~
PA
JOHN PEARCE
617 E 73RD ST
KANSAS CITY MO 64131-1624
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 OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 07-02-2012
ESTATE OF:PEARCE
FILE NO.:
CATHRYN
DATE 07-02-2012
ESTATE OF PEARCE CATHRYN
DATE OF DEATH 02-18-2012
FILE NUMBER ~' ~ ~ ~ - ~~-'~Z
COUNTY CUMBERLAND
SSN/DC 302-14-1041
ACN 12118620
APPEAL BY DATE:08-31-2012
(See reverse side under Objections)
Amount Remitted
DATE OF DEATH:02-18-2012 COUNTY:CUMBERLAND
S.S/D.C. NO.: 302-14-1041
ACN: 12118620
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 208129-00
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 08-06-2001
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
2,680.95
X 0.166
446.83
- .00
446.83
x .045
20.11
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
PAYMENT MUST BE MADE BY 11-19-2012*.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 20.11
INTEREST AND PEN. .00
TOTAL DUE 20.11
+ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YDU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.