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BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISE MENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-164B EX AFP (12-13)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
DATE 06-30-2014
ESTATE OF HOLLIS ROBERT J
DATE OF DEATH 06-10-2013
FILE NUMBER 21 13-0707
COUNTY CUMBERLAND
SSN/DC
ALAN E GLOGER ACN 13140939
APT 401 APPEAL BY DATE:08-29-2014
4225 RALEIGH AVE (See reverse side under Objections)
ALEXANDRIA VA 22304-5381 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—
REY-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: 06-30-2014
ESTATE OF: HOLLIS ROBERT J DATE OF DEATH:06-10-2013 COUNTY:CUMBERLAND
FILE NO. : 21 13-0707 S.S/D.C. NO. : ACN: 13140939
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO. : 5140029895
TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 03-13-2009
Account Balance 980.00 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 490 .00 UPPER PORTION OF THIS NOTICE
Debts and Deductions - . 00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 490.00 REGISTER OF WILLS AT THE
Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 22.05 OR MONEYC-6RDER PQBLE-,,T--A
"REGISTER_ WILL&, AQN3'a"
TAX CREDITS: 'v Z
PAYMENT RECEIPT DISCOUNT C+) '_) �_
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-) r -<- [�� O 1N
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INTEREST IS CHARGED THROUGH 07-08-2014 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 22.05
REVERSE SIDE OF THIS FORM INTEREST AND PEN. .22
TOTAL DUE 22.27
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. (�