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BUREAU OF INDIVIDUAL TAXES NO,�tICE OF INHERITANCE TAX DEPARTMENTOFREVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE _ _
PO BOX 280601 OF DEDUGTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-10)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
DATE 05-23-2011
� ESTATE OF GRISCOM MARIANNE
DATE OF DEATH 01-19-2010
FILE NUMBER 21 10-0203
- COUNTY CUMBERLAND
SSN/DC 144-70-4675
ROBERT J GRISCOM ACN 10135424
3555 GREEN ST APPEAL BY DATE:07-22-2011
CAM P H I L L PA 17 O 11 (See reverse side under Objections)
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 (12-10)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 05-23-2011
ESTATE OF:GRISCOM MARIANNE DATE OF DEATH:O1-19-2010 COUNTY:CUMBERLAND
FILE NO. : 21 10-0203 S.S/D.C. NO. : 144-70-4b75 ACN: 10135424
TAX RETURN WAS: (X) ACCEPTED AS FILED O CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SUSQUEHANNA BANK ACCOUNT NO. : 1511138430
TYPE OF ACCOUNT: OSAVINGS C ) CHECKING C )TRUST ( �TIME CERTIFICATE
DATE ESTABLISHED 02-14-1997
Account Balance 957.90 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 478.95 UPPER PORTION OF THIS NOTICE
Debts and Deductions ' •�� WITH YOUR TAX PAYMENT TO THE
Taxable Amount 478.95 REGISTER OF WILLS AT THE
Tax Rate Y .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 21 .55 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) pMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHAR6ED THROUGH 05-31-2011 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BA�ANCE OF TAX DUE 21.55
REVERSE SIDE OF THIS FORM INTEREST AND PEN. .44
TOTAL DUE 21 .99
� IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION DF ADDITIONAL INTEREST. * �
IF TOTAL DUE IS REFLECTED AS A "CREDIT^ fCR), YOU MAY BE DUE A REFUND. .�y
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. �