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BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-12)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
RECORDE- -7 DATE 12-25-2012
Ev I %S T ESTATE OF LUDES MARY W
DATE OF DEATH 04-08-2011
FILE NUMBER 21 11- 0466
L``'c- L ` L COUNTY CUMBERLAND
SSN/DC 205-07-0468
JOAN STROUSE CLE K ACN 12003115
1048 W MOUNT VER"PRIANS• Cu= APPEAL BY DATE:02-23-2013
L A N S DA L E C U to E A 4,1,E s (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
REV-1548 EX AFP C12-12)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 12-25-2012
ESTATE OF:LUDES MARY W DATE OF DEATH:04-08-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-0466 S.S/D.C. NO.: 205-07-0468 ACN: 12003115
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SECURITY BENEFIT LIFE ADVISORS ACCOUNT NO. ANNUITY
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 04-08-2011
Account Balance 41,397.26 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 1.000 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 41,397.26 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 41,397.26 REGISTER OF WILLS AT THE
Tax Rate x .15 ABOVE ADDRESS. MAKE CHECK
Tax Due 6,209.59 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
INTEREST IS CHARGED THROUGH 01-02-2013 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 6,209.59
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 183.31
TOTAL DUE 6,392.90
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.