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BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE M7
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1543 EX ARP (12-13)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
DATE 06-23-2014
ESTATE OF MCCULLOUGH NANCY L
DATE OF DEATH 08-22-2013
FILE NUMBER 21 14-0292
COUNTY CUMBERLAND
SSN/DC 207-44-5246
AMBER N FOLTZ ACN 14123690
APT 5 APPEAL BY DATE:08-22-2014
79 EASTERN AVE (See reverse side under Objections)
GREENCASTLE PA 17225-1187 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE x10 RETAIN LOWER PORTION FOR YOUR RECORDS +—
____________________________________________------------------------
REV-1548 EX AFP (12-137
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: M000LLOUGH NANCY L DATE OF DEATH:08-22-2013 COUNTY:CUMBERLAND
FILE NO. : 21 14-0292 S.S/D.C. NO. : 207-44-5246 ACN: 14123690
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ACNE BANK ACCOUNT NO. : 2127148
TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 04-24-2009
Account Balance 3,030. 15 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0 .500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 1 ,515.08 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 1 ,515.08 REGISTER OF WILLS AT THE
Tax Rate v . 15 ABOVE ADDRESS. MAK�HECK
Tax Due 227.26 OR MONEY OR LEg)PAYABL-E TDT rn
"REGISTER OW WILLS, ENT,'o
TAX CREDITS: m
-4
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-16-2014 CDO19182 .00 227.26 3i <-) C:)
DO = �
-
DO m
s (n CD,
n
s
TOTAL TAX PAYMENT 227.26
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.