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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-1548 EX AFP (12-13)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
DATE 06-23-2014
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 14116239
1213 BIDDLE DR APPEAL BY DATE:08-22-2014
CARLISLE PA 17013-4290 (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 4--
'__---" ___----------"__'____-----------------------""'-----'"----
REV-1548 EX AFP (12-13)
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: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: 14116239
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 117728-00
TYPE OF ACCOUNT: ( X)SAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 11-20-1990
Account Balance 17,868.90 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 2,978.21 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 2,978.21 REGISTER OF WILLS AF.THE
Tax Rate x •045 ABOVE ADDRESS. MAKE:itHEC-K
Tax Due 134. 02 OR MONEY Of{DERi PAYAKS TOE cm7
"REGISTER OF .Wl L.11S,�GENTz._J
TAX CREDITS: ---i CJ
PAYMENT RECEIPT DISCOUNT C+) R7 s«
GATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID - CJ �
r" O
05-13-2014 CDO19151 6.70 127.31 h O �`'
06-16-2014 SBADJUST .00 .ol t--+ n
M
T.. s Cn C:)
CrI �T
TOTAL TAX PAYMENT 134.02
BALANCE OF TAX DUE 100
INTEREST AND PEN. .00
TOTAL DUE .00
r 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. „tea
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.