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INHERITANCE TAX DIVISION
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PO BOX 28060
HARRISBURG PA 17128-0601 ,
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Y NELD OR TRUST ASSETS
JOINY
2D 12 OCT 26 AM I I ~ 31
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ORPHA,N'S OOURT
JELINDA BENDERCUMBERLAND CO., PA
R R 1 BOX 16 E METZ RD
T HOMPSONTOWN PA 17094
DATE 10-29-2012
ESTATE OF KNISLEY RICHARD R
DATE OF DEATH 01-16-2009
FILE NUMBER 21 09-0103
COUNTY CUMBERLAND
SSN/DC 174-20-4442
ACN 09137464
APPEAL BY DATE:12-28-2012
(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 ~"'
_ --------------------
REV-1548 EX AFP (12-11)-----------------------
DEDUCTIONSINANDIASSESSMENTAOFRTAXEONNJOINTLYWHELD OR TRUSTLASSETS OF
DATE: 10-29-2012
ESTATE OF:KNISLEY RICHARD R DATE OF DEATH:O1-16-2009 COUNTY:CUMBERLAND
FILE NO.: 21 09-0103 S.S/D.C. NO.: 174-20-4442 ACN: 09137464
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BK NA ACCOUNT NO.: 1010049419638
TYPE OF ACCOUNT: ( )SAVINGS (X) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 03-01-2002
Account Balance
Percent Taxable
Amount SubJect to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
9,665.53
X 0.500
4.832.77
.00
4,832.77
.15
724.92
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."
TAX CKtu1 i s:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-7
AMOUNT PAID
INTEREST LS CHARGED THROUGH 11-O6-ZU1C
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 724.92
INTEREST AND PEN. 76.84
TOTAL DUE 801.76
+ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ ~~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR7, VOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.