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BUREAU OF INDIVIDUAL TAXES ~`-L'~~~`~I '-'~rIV® CE OF INHERITANCE TAX
INHERITANCE TAX OIV ISION (~~Ci''~(°,, _[,A~'RA ~1~F NT. ALLOWANCE OR DISALLOWANCE
PO BOX 280681 f C~'°~'~ OF-~bE~(lOY~ONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12 -1 L)
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OCT 26 a~~~~ 3~ DATE 10-29-2012
. ESTATE OF BYERS EVELYN L
DATE OF DEATH 07-27-2012
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~ FILE NUMBER 21 12-1043
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~RPH;;N'J ~~~~ ~~T COUNTY CUMBERLAND
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P~ SSN/DC 202-20-4618
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JOHN E BYERS ACN 12144221
15 LYNN AVE APPEAL BY DATE:12-28-2012
NEWBURG PA 17240-9229 (See reverse side under Objections)
Amount Renittetl
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS F
REV-1548 EX AFP (12-11)
NOTICE OF INHERITANCE 7AX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 10-29-2012
ESTATE OF: BYERS EVELYN L DATE OF DEATH:07-27-2012 CDUNTV: CUMBERLAND
FILE NO.: 21 12-1043 S.S/D.C. NO .: 202-20-4618 ACN: 12144221
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 13170-04
TYPE OF ACCOUNT: (X)SAVINGS ( ) CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 04-10-1972
Account Balance
Percent Taxable
Amount SubJect to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
reY rRFnrrc~
4,000.71 NOTE:
X 0.166
666.80
_ nn
666.80
Y .045
30.01
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 TD:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) pXOUNT PAID
09-20-2012 CD016550 1.50 28.51
TOTAL TAX PAYMENT 30.01
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
• IF PAID AFTER THIS GATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ I,S:
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.