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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 05-26-2014
ESTATE OF SHELTS CHARLENE A
DATE OF DEATH 07-10-2012
FILE NUMBER 21 12-0914
COUNTY CUMBERLAND
SSN/DC
DEBRA L BOSHINSKI ACN 13130295
816 RIDGEWOOD DR APPEAL BY DATE:07-25-2014
MECHANICSBURG PA 17050-2228 (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
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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: 05-26-2014
ESTATE OF:SHELTS CHARLENE A DATE OF DEATH:07-10-2012 COUNTY:CUMBERLAND
FILE NO. : 21 12-0914 S.S/D.C. NO. : ACN: ' 13�I321 95
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED o - rTi C'>
JOINT OR TRUST ASSET INFORMATION 03 * I
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO. : 134005 .5b2 r ,) I:7 ry1
TYPE OF ACCOUNT: C )SAVINGS ( X) CHECKING ( )TRUST C )TIME CERTIFIdATi; „ p
DATE ESTABLISHED 06-07-2011 <[i �7 �.� =D - I "n
Account Balance 3,766.40 NOTE: TO ENSURPPkPPER (;qDIt-
Percent Taxable X 0.500 YOUR ACC6Wt: ; SUB�IT T f O
Amount Subject to Tax 1 ,883.20 UPPER PORP'ION OF TOMS NOT-FCE
Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 1,883.20 REGISTER OF WILLS AT THE
Tax Rate v .15 ABOVE ADDRESS. MAKE CHECK
Tax Due 282.48 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 06-03-2014 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 282.48
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 9.71
TOTAL DUE 292.19
+ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. + 1
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. `�.Y