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F~F~G I ~ ~ ~G~- OF
NOTICE
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OF INHERITANCE TAX pennsylvania
DEPARTMENT OF REVENUE ~
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BUREAU OF INDIVIDUAL TAXE~ ~ i
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INHERITANCE TAX OIV ISION OF DEDUCTIONS. AND ASSESSMENT OF TAX ON
PO BOX 280601
HARRISBURG PA 11128-0601 JOINTLY HELD OR TRUST ASSETS
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MICHELLE C KOONS
121 N SAINT JOHNS DR
CAMP HILL PA 17011-1932
MAGDALE
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS <"'
REV-1548 EX AFP 112-11)
NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT DF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 11-20-2012
ESTATE OF: PFLUGER
FILE NO.: 21 12-0686
DATE
ESTATE OF PFLUGER MAGDALEN M
DATE OF DEATH 06-08-2012
FILE NUMBER 21 12-0686
COUNTY CUMBERLAND
SSN/DC 191-12-5281
ACN 12137429
APPEAL BY DATE:O1-19-2013
(See reverse side under Objections)
Amount Renitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
DATE OF DEATH:06-08-2012 COUNTY:CUMBERLAND
S.S/D.C. NO.: 191-12-5281
ACN: 12137429
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 400790-42
TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST IX)TIME CERTIFICATE
DATE ESTABLISHED 03-20-2012
Account Balance
Percent Taxable
Amount SubJect to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
4,897.34
X 1.000
4,897.34
_ ,00
4,897.34
X .15
734.60
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."
IHA LRCLIIJ:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
08-25-2012 CD016432 29.62 562.69
PAYMENT MUST BE MADE BY 03-09-2013X.
TOTAL TAX PAYMENT 592.31
BALANCE OF TAX DUE 142.29
INTEREST AND PEN. .00
TOTAL DUE 142.29
* IF PAID AFTER THIS DATE. SEE REVERSE FDR CALCULATION OF ADDITIONAL INTEREST. * u~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU MAY BE DUE A REFUND. ll
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
HFV-t O0 E% @1-101
~` Pennsylvania INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
Bua6nuoFwowiounLTAxes OF CHANGES DOD: 06/08/2012
PO Box 280601
1 -
DECEDENTS NAME FILE NUMBER
Magdalen M Pfluger 2112-0686
REVIEWED BY ACN
Amber Heimbach 12137429
ITEM EXPLANATION Of CHANGES
SCHEDULE NO. _ _ -
The bank reported this account was established within one year of the Date of Death, it
is 100% taxable.
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