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04-19-13
pennsylvania walk BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE 2 PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-12) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS RECORDED OFFICE OF DATE 04-22-2013 REGISTER OF CIVIL ESTATE OF MUSSELMAN HAROLD APR DATE OF DEATH 05-01-2012 M'13 f p li R 19 An 112 COUNTYUMBER CUMBERLAND SSN/DC AMANDA MUSSELMAN CLERK Sri° ACN 12132437 235 CLAY RD ORPHANS' COURT APPEAL BY DATE:06-21-2013 CARLISLE 66 MVE Rt AV 8 O., PA ('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 —41 RETAIN LOWER PORTION FOR YOUR RECORDS F" ------------------------------------------------------------------------------------------- REV-1548 EX AFP t12-12) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 04-22-2013 ESTATE OF:MUSSELMAN HAROLD DATE OF DEATH:05-01-2012 COUNTY:CUMBERLAND FILE NO. : 21 12-1049 S.S/D.C. NO. : 188-32-2776 ACN: 12132437 TAX RETURN WAS: (X) ACCEPTED AS FILED t ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 206539-01 TYPE OF ACCOUNT: { ))SAVINGS t ) CHECKING ( )TRUST { )TIME CERTIFICATE DATE ESTABLISHED 12-24-2011 Account Balance .00 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax .00 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount .00 REGISTER OF WILLS AT THE Tax Rate Y •045 ABOVE ADDRESS. MAKE CHECK Tax Due .00 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT {+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * 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. � BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX Pennsylvania DEPARTMENT Of REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-12) HARRISBURG PA 17128-0601 RECVRDE L)JVFfLrCLMJrR TRUST ASSETS REGISTER 0 F VVV N_LS DATE 04-22-2013 p ESTATE OF MUSSELMAN HAROLD 1.013 1©PR 19 A{! I l � FILE NUMBERTH 21-12-1049 COUNTY CUMBERLAND CLERK :: SSN/DC JACQUELIN MUSSELMAN ORPHANS, O�}��„ ACN 12132438 235 CLAY RD APPEAL BY DATE:06-21-2013 CARLISLE P A A W R L N D CO., A (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 4-- - ------------------------------------------------------------------------------------------ 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: 04-22-2013 ESTATE OF:MUSSELMAN HAROLD DATE OF DEATH:05-01-2012 COUNTY:CUMBERLAND FILE NO. : 21 12-1049 S.S/D.C. NO. : 188-32-2776 ACN: 12132438 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 206539-01 TYPE OF ACCOUNT: CX?SAVINGS C CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 12-24-2011 Account Balance •00 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax .00 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount .00 REGISTER OF WILLS AT THE Tax Rate x •00 ABOVE ADDRESS. MAKE CHECK Tax Due .00 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT t+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * 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.