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BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE IV
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 03-24-2014
ESTATE OF CAMPBELL CORALYN S
DATE OF DEATH 03-19-2013
FILE NUMBER 21 13-0460
COUNTY CUMBERLAND
SSN/DC
ANDREW G CAMPBELL ACN 13121407
APT A APPEAL BY DATE:05-23-2014
324 4TH ST (See reverse side under Objections)
NEW CUMBERLAND PA 17070-2220 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS 4----------"'-__------_"'_"-----'_'------""-----_----------------
REV-154$ 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: 03-24-2014
ESTATE OF:CAMPBELL CORALYN S DATE OF DEATH:03-19-2013 COUNTY:CUMBERLAND
FILE NO. : 21 13-0460 S.S/D.C. NO. : ACN: 13121407
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SUSQUEHANNA VALLEY FCU ACCOUNT NO. : 20-00
TYPE OF ACCOUNT: ( X)SAVINGS ( } CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 09-06-1967
Account Balance 1 ,670.62 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 835.31 UPPER PORTION OF THIS NOTICE
Debts and Deductions •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 835.31 REGISTER OF WILLS AT THE
Tax Rate % .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 37.59 OR MONEY ORDER PAYAME TO:
"REGISTER 2F WILLS;nIGEBK A
TAX CREDITS: - = O 4M? o
PAYMENT RECEIPT DISCOUNT C+3
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DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID C7 -4
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INTEREST IS CHARGED THROUGH 04-01-2014 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 37.59
REVERSE SIDE OF THIS FORM INTEREST AND PEN. .32
TOTAL DUE 37.91
x IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND,
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. C