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INHERITANCE TAX DIVISION [~ (~;C(~ ~','j (~[ ~~RR R~ISEMENT,
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REV-1548 EX AFP C12-11)
PO BOX 280601 _
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DUCTIONS~
`~ AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
L~~2 AUG 24 ~P71 ~ ~: J3 DATE 08-28-2012
ESTATE OF SUTTON CHRISTIN E D
DATE OF DEATH Oti-03-2012
'-~:_~ii~. '~... FILE NUMBER 21. 12-0637
~R~~-{~~~1j'~ (;~,{v;T COUNTY CUMBERLAND
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RALPH S ACN 12136937
54 OAK AVE APPEAL BY DATE:10-27-2012
CAMP HILL PA 17011-4240 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
CUT ALONG THIS LINE '~1 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: 08-28-2012
ESTATE OF:SUTTON CHRISTINE D DATE OF DEATH:06-03-2012
FILE NO.: 21 12-0637 S.S/D.C. NO.: 192-14-6626
COUNTY:CUMBERLAND
ACN: 12136937
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO..: 32899-50
TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST CX)TIME CERTIFICATE
DATE ESTABLISHED 06-14-2000
Account Balance
Percent Taxable
Amount SubJect to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
18,531.82
X 0.500
9,265.91
- nn
9,265.91
x .045
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+7
INTEREST/PEN PAID C-7 AMOUNT PAID
07-06-2012 CD016230 20.85 396.12
TOTAL TAX PAYMENT 416.97
BALANCE OF 7AX DUE .00
INTEREST AND PEN. .00
70 TAL 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 THlS FORM FOR INSTRUCTIONS.