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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 AFP (12-13)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
DATE 03-17-2014
ESTATE OF ZIMMERMAN THELMA J
DATE OF DEATH 08-06-2012
FILE NUMBER 21 13-0379
COUNTY CUMBERLAND
SSN/DC
BARBARA A ZIMMERMAN ACN 13119745
211 N 19TH ST APPEAL BY DATE:05-16-2014
CAMP HILL PA 17011-3926 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE --f' RETAIN LOWER PORTION FOR YOUR RECORDS 4--
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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: 03-17-2014
ESTATE OF: ZIMMERMAN THELMA J DATE OF DEATH:08-06-2012 COUNTY:CUMBERLAND
FILE NO. : 21 13-0379 S.S/D.C. NO. : ACN: 13119745
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO. : 1681715597
TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 08-27-1992
Account Balance 10,261 .43 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 5, 130 .72 UPPER PORTION OF THIS NOTICE
Debts and Deductions - • 00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 5, 130.72 REGISTER OF WILLS AT THE
Tax Rate x .15 ABOVE ADDRESS. MAKE ,GPECK
Tax Due 769.61 OR MONEY ORDER PAYABLf=.TO:
"REGISTER OF5—gLS, AGENT.!? m
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) ,)
AMOUNT PAID <.--• C'7
DATE NUMBER INTEREST/PEN PAID C-) V7
-n
17-y W 3,_ rn
C,✓
INTEREST IS CHARGED THROUGH 03-25-2014 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 769.61
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 20 .38
TOTAL DUE 789.99
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. a!
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. IvV'