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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
BUREAU OF INDIVI~~'t1\AXES'
INHERITANCE TAX DIYISloH'j' '. .
PO BOX Z80601 . '.. .
HARRISBURG PA 171Z8-060):.
NOTICE OF INHERITANCE TAX
APPRAISEKENT~ ALLOMANCE OR DISALLOMANCE
OF DEDUCTION~, AND ASSESSKENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REY-1541 EX iFP 112-041
20
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSNI'DC
ACN
03-14-2005
LOUTZENHISER
08-02-2004
.:>.... <;:) ~ S - <:::11. 'l.. '"3.
CUMBERLAND
161-16-6184
04146308
Allount RelliUed
CALVIN
A
ADDU." ;<:: (.,,,; Dr
J u ~ i.... "" --, \ _~ ',.i '._':....h. I
MARY r'! 11ft:: lOUTZENHISER.
4833 E TltNDLE RD 503 ..
MECHANICSBURG PA 17050
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iifv:i5~i-Ex--AFP--roi-:03i------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 03-14-2005
ESTATE OF LOUTZENHISER
CALVIN
A DATE OF DEATH 08-02-2004
COUNTY
CUMBERLAND
FILE NO. S.S/D.C. NO. 161-16-6184
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
04146308
FINANCIAL INSTITUTION: PNC BANK
ACCOUNT NO.
5003759197
TYPE OF ACCOUNT: ()() SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 10-16-2000
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
89,135.87
0.166
14,856.28
.00
14,856.28
.00
.00
NOTE: TO INSURE 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 TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
~
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .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 LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIP" ( CR), YOU HAY BE DUE A REFUND.
--- _....ft... "'Tno:: no:: TIITc:. s:nRM FOR :rNSTRUCTIONS. )