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<-'4C`'~~ r NOTICE OF INHERITANCE TAX pennsyLvania
BUREAU OF INDIVIDUAL T~!~ / D +.,'iC DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION t~PXAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 v!v EDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 IX AFP (12-1ll
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
n 4,;tt+ O,a DATE 08-13-2012
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~`i` 13 " {"~.r ESTATE OF WOLF ROGER A
DATE OF DEATH 08-07-2011
FILE NUMBER 21 11-0970
Gt~~t~~ COUNTY CUMBERLAND
SSN/DC 199-34-9504
JANA gERD CO., PA ACN 12001226
60 HARDWICK RD APPEAL BY DATE:10-12-2012
PETERSHAM MA 01366 - 9701 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS 4--
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: 08-13-2012
ESTATE OF:WOLF ROGER A DATE OF DEATH:08-07-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-0970 S.S/D.C. NO.: 199-34-9504 ACN: 12001226
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: COMMONWEALTH ANNUITY ACCOUNT NO.:
TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 07-31-2011
Account Balance 10,871.92 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 1.000 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 10,871.92 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 10,871.92 REGISTER OF WILLS AT THE
Tax Rate y .15 ABOVE ADDRESS. MAKE CHECK
Tax Due 1,630.79 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 08-21-2012 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 1,630.79
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 14.17
TOTAL DUE 1,644.96
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. * 1
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. /