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BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX i T DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1549 EX AFP (12-13)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
DATE 06.09-2014
ESTATE OF YEAGER ROBERT E
DATE OF DEATH 02-28-2014
FILE NUMBER 21 14-0457
COUNTY CUMBERLAND
SSN/DC 079-07-9506
DAVID YEAGER ACN 14116233
1213 BIDDLE DR APPEAL BY DATE:08-08-2014
CARLISLE PA 17013-4290 (See reverse side under Objections)
Amount Remitted F
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: 06-09-2014
ESTATE OF:YEAGER ROBERT E DATE OF DEATH:02-28-2014 COUNTY:CUMBERLAND
FILE NO. : 21 14-0457 S.S/D.C. NO. : 079-07-9506 ACN: 14116233
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 117720-11
TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 12-07-1990
Account Balance 6,184.46 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 1 ,030.76 UPPER PORTION OF THIS NOTICE
Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 1,030.76 REGISTER OF WILLS AT THE
Tax Rate r .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 46.38 OR MONEY ORDER PAYABLE TO:
"REGISTERCqF WILLSQAGENT"
TAX CREDITS: --� m ITI
PAYMENT RECEIPT DISCOUNT C+) wm
cc - C ''r O
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID rTI C'7 Z C,n M
05-13-2014 CDO19151 2.32 44.06 � 2- r m
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TOTAL TAX PAYMENT 46.38
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. ,n
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. `\Wjl)