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BNHERITANCE TA)DDMS~~~L~l (4'~K ~ +~~n+~ Qv' APPRAISEMENTE ALLOWANCE?ORCDISALLOWANCE
HARRISBURG PA ].7128-06a~G'Jf(_':1 V~,PY!,~.i'7 OF DED OINTLY ,H LND OR TRUSTE ASSETS AX ON
2012 JUL I fl PN~ 121 17
DELORES ' ~W~i
616 HIGHL ~~~
CARLISLE ~ PA 17013-4107
Pennsylvania ~
DEPARTMENT OF REVEN UE
REV-1548 IX AFP (12 -11)
DATE 0'7-09-2012
ESTATE OF CI]ULSON GEORGETTA J
DATE OF DEATH O:i-19-2012
FILE NUMBER 2l 12-0393
COUNTY CIJMBERLAND
SSN/DC 1'73-OL-5587
ACN 12122515
APPEAL BY DATE:D9-D7-2012
(See reverse side under 06jections)
Amount Remitted)
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQ UTARE
CARLISLE PA 17'013
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: 07-09-2012
ESTATE OF:000LSON GEORGETTA J DATE OF DEATH:03-19-2012
FILE NO.: 21 12-0393 S.S/D.C. NO.: 173-OL-5587
COUNTY:CUMBERLAND
ACN: 12122515
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR 7R UST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO ..: 157273-DO
TYPE OF ACCOUNT: IX)SAVINGS ( ) CHECKING ( )TRUST ( )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:
2,836.16
X 0.500
1,418.08
- .00
1,418.08
y .045
63.81
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 Cam)
INTEREST/PEN PAID (-7 pMOU NT PAID
06-06-2012 CD016073 3.19 60.62
TOTAL TAX NAYMENT 63.81
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL Dl1E .00
d~
• IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION DF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THTS FORM FOR INSTRUCTIONS.