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BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX . 1' DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 2806" OF DEDUCTIONS. AND ASSESSMENT OF TAX ON REV-1548 IX dFP II2-12}
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
RECORD-0 X7111' = OF DATE 09-23-2013
REM'–, —'% Gr ..._'-S ESTATE OF BREITENBACH GERALDINE P
DATE OF DEATH 10-15-2012
,r, � 31- FILE NUMBER 21 12-1151
1.01:.3 SEf 30 p 1 COUNTY CUMBERLAND
SSN/DC
JOSEPH M BREITENBACH r,7 ACN 12158492
1310 PHEASANTr,,ps S G ART APPEAL BY DATE:11-22-2013
CARLISLE G� $,r�A�� 70i 122y (Seerev¢rsesideundcrOhjectirrns)
t A t1 f Amount Remitted —�
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 (12-12)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 09-23-2013
ESTATE OF: BREITENBACH GERALDINE P DATE OF DEATH:10-15-2012 COUNTY:CUMBERLAND
FILE NO. : 21 12-1151 S,S/D.C. NO. : ACN: 12158492
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 29327-42
TYPE OF ACCOUNT: t )SAVINGS t } CHECKING ( )TRUST ( )OTIME CERTIFICATE
DATE ESTABLISHED 12-20-2004
Account Balance 13,449.92 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.033 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 448.29 UPPER PORTION OF THIS NOTICE
Debts and Deductions •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 448.29 REGISTER OF WILLS AT THE
Tax Rate y .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 20. 17 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID I-)
INTEREST IS CHARGED THROUGH 10-01-2013 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 20. 17
REVERSE SIDE OF THIS FORM INTEREST AND PEN. .13
TOTAL DUE 20.30
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. r
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.