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BUREAU OF INDIVIDUAL TAXES ~~~~~'~~ ~~ NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~~~~ ~! ~ ~ ~~ IONy~1, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 % ~~~ ~~~YIJTLY HELD DR TRUST ASSETS
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GARY A WILLIER1
610 WATEREDGE ROAD
LITITZ PA 17543-8766
Pennsylvania ~ y.. ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-11) ~~
DATE 07-16-2012
ESTATE OF WASSER PAULINE M
DATE OF DEATH 07-31-2011
FILE NUMBER 21 11-0929
COUNTY CUMBERLAND
SSN/DC
ACN 11153583
APPEAL BY DATE:09-14-2012
(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 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: 07-16-2012
ESTATE OF: WASSER PAULINE M DATE OF DEATH:07-31-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-0929 S.S/D.C. NO.: ACN: 11153583
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SUSQUEHANNA BANK ACCOUNT NO.: 10005852115
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST CX)TIME CERTIFICATE
DATE ESTABLISHED 10-01-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
52,105.38
X 0.166
8,684.40
- .00
8,684.40
x .15
1,302.66
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 (-)
AMOUNT PAID
08-23-2011
r.~T~.,~..r .,. CD014918
,...._..-- -~~-- - 19.54 371.34
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT 390.88
BALANCE OF TAX DUE 911.78
INTEREST AND PEN. 6.36
TOTAL DUE 918.14
* 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 FDR INSTRUCTIDNS.
~~