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BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 260601 ~t ~y }~q ~ EDUC I N AND ASSESSMENT DF TAX ON REV-1548 EX AFP C12-12)
HARRISBURG PA 17128-0601 R~L~f~l:Ll.' '~ JU~~ilrt~-L~ELD OR TRUST ASSETS
R~Gf~''~ ~~ ~'~``..E_~ DATE 12-31-2012
?013 ~~~~ 7 P }
CLERK
CAROL CUTLIP ORPHANS' C~~r? ~
85 COURTYARD DR 8L ~~ , ~='~4,
CARLISLE ~3-3
ESTATE OF MORRIS BETTY F
DATE OF DEATH 03-11-2012
FILE NUMBER 21 12-1149
COUNTY CUMBERLAND
SSN/DC
ACN 12156838
APPEAL BY DATE:03-O1-2013
(See reverse side under Objections)
Amount Rewitted
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 ~
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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: 12-31-2012
ESTATE OF:MORRIS BETTY F DATE OF DEATH:03-11-2012 COUNTY:CUMBERLAND
FILE NO.: 21 12-1149 S.S/D.C. NO.:
ACN: 12156838
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WELLS FARGO ACCOUNT NO.: 001010198621160
TYPE OF ACCOUNT: { )SAVINGS {X) CHECKING { )TRUST { )TIME CERTIFICATE
DATE ESTABLISHED 02-15-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
4,193.00 NOTE:
X 0.500
2,096.50
- .00
2,096.50
Y .15
314.48
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."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID {-) AMOUNT PAID
10-25-2012 CDOlb712 .00 251.58
INTEREST IS CHARGED THROUGH 01-08-2013
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT 251.58
BALANCE OF TAX DUE 62.90
INTEREST AND PEN. .14
TOTAL DUE 63.04
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. ~
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~~~,