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INHERITANCE TAX DIVISION -
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
PD BDX 28B6B1
HARRISBURG PA 17128-0681 JOINTLY HELD OR TRUST ASSETS
G'~'~2 ~^.`~~~ ~~ Fii ~' 3i~ DATE 11-20-2012
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ALEX MERRILL
2160 CANTERBURY DR
M ECHANICSBURG PA 17055-5767
ESTATE OF MERRILL GREGORY
DATE OF DEATH 12-07-2011
FILE NUMBER 21 12-0463
COUNTY CUMBERLAND
SSN/DC 182-38-2179
ACN 11183188
APPEAL BY DATE:O1-19-2013
(See reverse side under 06jections)
Amount Renitted ~~-~
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 DF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 11-20-2012
ESTATE OF:MERRI LI
GREGORY DATE OF DEATH:12-07-2011 CDUNTY:CUMBERLAND
FILE NO.: 21 12-0463 S.S/D.C. NO.: 182-38-2179
ACN: 11183188
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 166973-00
TYPE OF ACCOUNT: CX)SAVINGS ( ) CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 02-24-1997
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
809.19
X 0.166
134.87
_ .00
134.87
Y . 045_
6.07
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."
inn ~,n cu. ~
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
04-19-2012 CD015870 .00 6.07
TOTAL TAX PAYMENT 6.07
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
e IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. + r~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.