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'~~ VUr~U ~.I~i I~T~E OF INHERITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES 1rx ~'p DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION t~E~;i.'.~~~-`~ P~A1,T E`NT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~ "~" ~ t'T1F ~~EDtI~~lNS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-11)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
DAVID M WALL
1416 OLD AIRPORT
DOUGLASSVILLE
z~~zacr r6 P~ ~: i~
~.
C BERtA- Nip Cp~ r
.. PA
RD
PA 19518-8966
DATE 10-16-2012
ESTATE OF WALL HELEN L
DATE OF DEATH 05-28-2012
FILE NUMBER 21 12-0744
COUNTY CUMBERLAND
SSN/DC
ACN 12135181
APPEAL BY DATE:12-15-2012
(See reverse side under Objections)
Aa~ount Reeitted
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 ~
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
DATEe in_ie_~n
ESTATE OF:WALL
HELEN
DATE OF DEATH:05-28-2012 COUNTY:CUMBERL ND
L
FILE NO.: 21 12-0744 S.
TAX RETURN WAS: (X)
FINANCIAL INSTITUTION: MEMBERS
TYPE OF ACCOUNT: ( )SAVINGS
DATE ESTABLISHED 05-29-1993
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
5/D.C. NO.: ACN: 121315181
ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
1ST FCU ACCOUNT NO.: 132994-11 i
CX) CHECKING C )TRUST f )TIME CERTIFICATE ',
.00
X 0.500
.00
- .00
.00
x .045
.00
NOTE:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
TOTAL TAX PAYMENT .''~00
BALANCE OF TAX DUE .100
INTEREST AND PEN. .100
TOTAL DUE .100
~~
TO ENSURE PROPER CREDIT ~f0
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NO~fICE
WITH YOUR TAX PAYMENT TO~THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHE~K
OR MONEY ORDER PAYABLE T~:
"REGISTER OF WILLS, AGEN'~."
~ 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 FOR INSTRUCTIONS.
I