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BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENTOFREVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1546 DCAFP C12-12)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
���'����� g�" �jr'= �� DATE 06-17-2013
���'��1}�� Q� �'�E��.e�S ESTATE OF ROMBERGER HANS S
DATE OF DEATH 01-13-2013
�L l� �UN 1 f PI I 1 l�COUNTYUMBER CUMBERLAND
SSN/DC 210-26-5558
ROBERT A ROMBER6ER II CLERK Gi' ACN 13123386
6109 SMITHFIELD ST (� p}��N APPEAL BY DATE:08-16-2013
HARR I SBURG PA 171 I"�'35$'2�S• C Q��� (See reverse side under Objections)
Cl1MBERLAND G�., PA Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON6 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: 06-17-2013
ESTATE OF: ROMBER6ER HANS S DATE OF DEATH:O1-13-2013 COUNTY:CUMBERLAND
FILE NO. : 21 13-0085 S.S/D.C. NO. : 210-26-5558 ACN: 13123386
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO. : 5140053684
TYPE OF ACCOUNT: C )SAVINGS ( � CHECKING C )TRUST OTIME CERTIFICATE
DATE ESTABLISHED 11-17-2009
Account Balance 12,262.00 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 2,043.71 UPPER PORTION OF THIS NOTICE
Debts and Deductions ' •�0 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 2,043.71 REGISTER OF WILLS AT THE
Tax Rate Y .15 ABOVE ADDRESS. MAKE CHECK
Tax Due 306.56 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
05-10-2013 CD017601 .00 306.56
TOTAL TAX PAYMENT 306.56
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 INSTRUCTIDNS.