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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 06-23-2014
ESTATE OF RAYMUNDO RODOLFO G
DATE OF DEATH 09-11-2013
FILE NUMBER 21 13-1271
COUNTY CUMBERLAND
SSN/DC
ROXANNE RAYMUNDO ACN 14118730
1208 WELL DR APPEAL BY DATE:08-22-2014
CAMP HILL PA 17011-1231 (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 --10 RETAIN LOWER PORTION FOR YOUR RECORDS 4--
REV-1548 EX AFP (12-13)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 06-23-2014
ESTATE OF: RAYMUNDO RODOLFO G DATE OF DEATH:09-11-2013 COUNTY: CUMBERLAND
FILE NO. : 21 13-1271 S.S/D.C. NO. : 191-46-0366 ACN: 14118730
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU ACCOUNT NO. : 0191460366-S4
TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 01-15-1977
Account Balance 6,560 .23 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 11093.39 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 1 ,093.39 REGISTER OF WILLS AT THE
Tax Rate Y . 045 ABOVE ADDRESS. MAKE CHECK
Tax Due 49.20 OR MONEY ORDER PAYE TOE
"REGISTER diF WILLS;�AG fcM
TAX CREDITS: i D r_ aE1.: n
G'
PAYMENT RECEIPT DISCOUNT (+7 ,-ri n Z Cn
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID r- fV p
rn
05-02-2014 CDO19124 .00 49.20 w 3J o
C7 -rl Z3 'rl
r1)
7 S C() �
1
TOTAL TAX PAYMENT 49.20
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 REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. \(�
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. `�J
pennsylvanE
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX 1' DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEME NT. 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 06-23-2014
ESTATE OF RAYMUNDO RODOLFO G
DATE OF DEATH 09-11-2013
FILE NUMBER 21 13-1271
COUNTY CUMBERLAND
SSN/DC
ROXANNE RAYMUNDO ACN 14118732
1208 WELL DR APPEAL BY DATE:08-22-2014
CAMP HILL P A 17011-1231 (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 RETAIN LOWER PORTION FOR YOUR RECORDS 4—REV-1548 EX AFP (12-13)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 06-23-2014
ESTATE OF: RAYMUNDO RODOLFO G DATE OF DEATH:09-11-2013 COUNTY:CUMBERLAND
FILE NO. : 21 13-1271 S.S/D.C. NO. : 191-46-0366 ACN: 14118732
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU ACCOUNT NO. : 0191460366-S53
TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST O)TIME CERTIFICATE
DATE ESTABLISHED 09-06-2005
Account Balance 6,781 .95 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 1,130.35 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 1,130 .35 REGISTER OF WILLS AT THE
Tax Rate x . 045 ABOVE ADDRESS. MAKE CHECK
Tax Due 50.87 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLSJ�4GENT."
TAX CREDITS: n 70
s x7 R1
PAYMENT RECEIPT DISCOUNT (+) C Rl G7 p
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID C.7
Z Cn :J
05-02-2014 CDO19123 .00 50.87 b -., r- (v Ir C:)
r
r- / -q O
O � -�1 T
~ P m
~ T- o
TOTAL TAX PAYMENT 50.87
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 REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
pennsylvania
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-1558 EX AFP (12-13)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
DATE 06-23-2014
ESTATE OF RAYMUNDO RODOLFO G
DATE OF DEATH 09-11-2013
FILE NUMBER 21 13-1271
COUNTY CUMBERLAND
SSN/DC
ROXANNE RAYMUNDO ACN 14118734
1208 WELL DR APPEAL BY DATE:08-22-2014
CAMP HILL PA 17011-1231 (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 RETAIN LOWER PORTION FOR YOUR RECORDS 4--
________________________________________________________
REV-1548 EX AFP (12-13)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 06-23-2014
ESTATE OF:RAYMUNDO RODOLFO G DATE OF DEATH:09-11-2013 COUNTY:CUMBERLAND
FILE NO. : 21 13-1271 S.S/D.C. NO. : 191-46-0366 ACN: 14118734
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU ACCOUNT NO. : 0191460366-S54
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING ( )TRUST ( X)TIME CERTIFICATE
DATE ESTABLISHED 10-23-2006
Account Balance 1 ,666.62 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 277.78 UPPER PORTION OF THIS NOTICE
Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 277.78 REGISTER OF WILLS AT THE
Tax Rate x . 045 ABOVE ADDRESS. MAKE CHECK
Tax Due 12.50 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
N
TAX CREDITS: °
PAYMENT RECEIPT DISCOUNT (+) C s r*1 n
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
05-02-2014 CDO19125 . 00 12.50 +-n -- c-, Cn
r rn
n1 N !"ri
C J O
Z C, h O
FJ < '11
n 1 S n
o H... r m
TOTAL TAX PAYMENT r! 12.50
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 REFLECTED AS A 'CREDIT^ (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.