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BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX APP (12-13)
HARRISBURG PA 17128.0601 JOINTLY HELD OR TRUST ASSETS
DATE 04-28-2014
ESTATE OF CLOUSE TIFFANY B
DATE OF DEATH 05-20-2012
FILE NUMBER a'-IL-` -L.yp,
COUNTY CUMBERLAND 1
SSN/DC
CALENE M CLOUSE ACN 13128753
2075 RITNER HWY APPEAL BY DATE:06-27-2014
CARLISLE PA 17015-9303 (See reverse side under Objections)
Amount Remitted E —1
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ""1 RETAIN LOWER PORTION FOR YOUR RECORDS t�
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REV-1548 EX AFP C12-13)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 04-28-2014
ESTATE OF:CLOUSE TIFFANY B DATE OF DEATH:05-20-2012 COUNTY:CUMBERLAND
FILE NO. : S.S/D.C. NO. : ACN: 13128753
TAX RETURN WAS: IX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO. : 1671001486
TYPE OF ACCOUNT: C )SAVINGS ( X) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 01-03-2002
Account Balance 583.54 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 291.77 UPPER PORTION OF THIS NOTICE
Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 291.77 REGISTER OF WILLS AT THE
Tax Rate It .15 ABOVE ADDRESS. MAq CHEC'K'S'
Tax Due 43.77 OR MONEY &YDER PAY.ULE-TOC:U
"REGISTER2 WILLS AGBNTgl
TAX CREDITS: :;:I -rs o
PAYMENT RECEIPT DISCOUNT (+) RT C)
cn v
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID X - :— IV fT'1 M
CJ TI =3 i
r ITI
a o
m Cn n
INTEREST IS CHARGED THROUGH 05-06-2014 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 43.77
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1 .58
TOTAL DUE 45.35
• 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.