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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 LEBARD AMY A
DATE OF DEATH 10-17-2012
FILE NUMBER 21 12-1270
COUNTY CUMBERLAND
SSN/DC
NICHOLAS SWETT ACN 13133671
APT 24 APPEAL BY DATE:07-25-2014
2818 W GLEN D R (See reverse side under Objections)
FALLS CHURCH VA 22046-4780 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--
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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: LEBARD AMY A DATE OF DEATH:10-17-2012 COUNTY: CUMBERLAND
FILE NO. : 21 12-1270 S.S/D.C. NO. : ACN: 13133671
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO. : 0431105715
TYPE OF ACCOUNT: ( )SAVINGS ( )0 CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 07-16-2008
Account Balance 2,457. 15 NOTE: TO ENSURE PROPER CR�PIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE s
n
Amount Subject to Tax 1 ,228.58 UPPER PORTION OF TH{j5 NOTICE: '7
Debts and Deductions - .00 WITH YOUR TAX PAYMENT iOCTHE� (f
Taxable Amount 1 ,228.58 REGISTER OF WILLS AT TI.Er cN.J I?
rn
Tax Rate x . 15 ABOVE ADDRESS. MAKliACHEER C.
ci
Tax Due 184.29 OR MONEY ORDER PAYABLE:-)T� -
L
"REGISTER OF WILLS,CAG, .NT-1 3
TAX CREDITS:
H�
PAYMENT RECEIPT DISCOUNT (+) '0 V
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID W
C.w)
INTEREST IS CHARGED THROUGH 06-03-2014 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 184.29
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 4.85
TOTAL DUE 189. 14
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. �vw
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.