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BUREAU
HERIT OF AX DIVISION DUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT. ALLOWANCE OR DISALLOWANCE %7
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-15)
HARRISBURG PA 17128-0601 ,JOINTLY HELD OR TRUST ASSETS
DATE 06-16-2014
ESTATE OF MITTEN LEWIS K
DATE OF DEATH 06-25-2013
FILE NUMBER 21 13-0753
COUNTY CUMBERLAND
SSN/DC 220-14-1764
DOLORA L MITTEN ACN 13139245
92 LANTERN LN APPEAL BY DATE:08-15-2014
SHIPPENSBURG PA 17257-8769 (.See reverse side under Objections)
Amount Remitted F ---T'�
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 C12-13) ------
NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 06-16-2014
ESTATE OF:MITTEN LEWIS K DATE OF DEATH:06-25-2013 COUNTY:CUMBERLAND
FILE NO. : 21 13-0753 S.S/D.C. NO. : 220-14-1764 ACN: 13139245
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO. : 103009435
TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 07-09-2010
Account Balance 632.35 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 105.39 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 105.39 REGISTER OF WILLS AT THE
Tax Rate x .00 ABOVE ADDRkk S. MAKE CHECK
Tax Due .00 OIP MONEY ORDER PA-'{ABLE TO:
'��G'1STER 'Uf- WjF�LrS+, AGENT."
TAX CREDITS: w C— c� n
PAYMENT RECEIPT DISCOUNT {i.} AMOUNP RAID— - --4 Q:I
DATE NUMBER INTEREST/PEN PAID {-)
in m
G•I ;>z
C 4") C3
C C
CJ C) C)
C7) -n
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
+� IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. a \
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. a\(�
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. 1'�