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HomeMy WebLinkAbout09-15-14 pennsylvania BUREAU OF INDIVI➢UAL TAXES NOTICE OF INHERITANCE TAX - DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE REV-1548 EX AFP (12-13) ------ PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS DATE 09-15-2014 ESTATE OF EARLEY DOROTHY J DATE OF DEATH 01-30-2013 FILE NUMBER 21 13-0144 COUNTY CUMBERLAND SSN/DC INA KING ACN 13155054 104 WERTZ AVE APPEAL BY DATE:11-14-2014 MECHANICSBURG PA 17055-4065 (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 C12-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 09-15-2014 ESTATE OF': EARLEY DOROTHY J DATE OF DEATH:01-30-2013 COUNTY:CUMBERLAND FILE NO. : 21 13-0144 S.S/D.C. NO. : ACN: 13155054 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: EE PATRIOT BOND ACCOUNT NO. : 00 TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 01-30-2013 Account Balance 1 ,040. 16 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 1 . 000 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 1,040. 16 UPPER PORTION OF THIS NOTICE Debts and Deductions - . 00 WITH YOUR TAX PAYMENT TQ, THE Taxable Amount 1,040.16 REGISTER OF WIL4SIAT THE + Tax Rate X .045 ABOVE AGDRESS. ftAKE�:6 F K Tax Due 46.81 OR MONEr5: WIDER N�YABUg CPpO: ' "REGIS T 2�F WI LL�, FE%T." TAX CREDITS: rn 1- c> --1 C::)_ F✓ ITj ITT PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID +-r. m ' Cr1 'm O DATE NUMBER INTEREST/PEN PAID I-) - p C> rJ I _T3 -.n T =3 t.;✓ C F-� x C> N r M 7 Cn CD r fV n INTEREST IS CHARGED THROUGH 09-23-2014 TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 46.81 REVERSE SIDE OF THIS FORM . INTEREST AND PEN. 1 .26 TOTAL DUE 48. 07 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. pennsylvanE BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENL. ALLOWANCE OR DISALLOWANCE 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 09-15-2014 ESTATE OF EARLEY DOROTHY J DATE OF DEATH 01-30-2013 FILE NUMBER 21 13-0144 COUNTY CUMBERLAND SSN/DC GILBERT EARLEY ACN 13155055 165 BEMHEISEL BRIDGE RD APPEAL BY DATE:11-14-2014 CARLISLE PA 17015 (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: 09-15-2014 ESTATE OF: EARLEY DOROTHY J DATE OF DEATH:01-30-2013 COUNTY:CUMBERLAND FILE NO. : 21 13-0144 S.S/D.C. NO. : ACN: 13155055 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: EE PATRIOT BOND ACCOUNT NO. : DO TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 01-30-2013 Account Balance 1 ,040 . 16 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 1 . 000 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 1 ,040. 16 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 1,040. 16 REGISTER OF WIL�S,AT THE`, Tax Rate x .045 ABOVE AdtDRESS. KE HOCK i Tax Due 46.81 OR MON ORDER PAYABtE �g0: "REGISReR F WIVt-S, aEfflT." TAX CREDITS: 1T1 :z. PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID [i " 7J c.n �7 C7 DATE NUMBER INTEREST/PEN PAID C-) CA p O 77 IT1 N Cn n N INTEREST IS CHARGED THROUGH 09-23-2014 TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 46.81 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1 .26 TOTAL DUE 48.07 + 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. l�V) �i j pennsylvanE BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX ` DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT. ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP 112-13) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS DATE 09-15-2014 ESTATE OF EARLEY DOROTHY J DATE OF DEATH 01-30-2013 FILE NUMBER 21 13-0144 COUNTY CUMBERLAND SSN/DC SUSANNA EARLEY ACN 13155056 BEMHEISEL BRIDGE RD APPEAL BY DATE:11-14-2014 CARLISLE PA 17015 (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 _______________________________ REV-1548 EX AFP C12-137 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 09-15-2014 ESTATE OF: EARLEY DOROTHY J DATE OF DEATH:01-30-2013 COUNTY:CUMBERLAND FILE NO. : 21 13-0144 S.S/D.C. NO. : ACN: 13155056 TAX RETURN WAS: (X). ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: EE PATRIOT BOND ACCOUNT NO. : 00 TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 01-30-2013 Account Balance 1 ,040. 16 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 1 . 000 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 1 ,040 . 16 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 1 ,040 . 16 REGISTER OF WILLS AT THE Tax Rate X . 045 ABOVE ADDRESS. MAKE CHECK Tax Due 46.81 OR MONEY ORDER PAYABLE TO:_`, "REGISTERc-PF WILLS-,--,-,AGENT " TAX CREDITS: C s _-Z m PAYMENT RECEIPT DISCOUNT (+) `J% IT1 C7 DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID m � � --I o M rT M cn -13 o i 0 0 f7 `l7 -ri '*1 'T7 Z -TI (V t— ITl N Cn O fV -n INTEREST IS CHARGED THROUGH 09-23-2014 TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 46.81 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1 .26 TOTAL DUE 48.07 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. ,12.v1 Pennsylvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 IX AFP (12.13) HARRISBURG PA 17128.0601 JOINTLY HELD OR TRUST ASSETS DATE 09-15-2014 ESTATE OF EARLEY DOROTHY J DATE OF DEATH 01-30-2013 FILE NUMBER 21 13-0144 COUNTY CUMBERLAND SSN/DC ERIC EARLEY ACN 13155057 904 CEDARS RD APPEAL BY DATE:11-14-2014 LEWISBERRY PA 17339-9570 (See reverse side under Objections) Amount Remitted r--- —� 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 F --"—"-----'--'--`--"---""----`---------------`--------------------`----------------- 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: 09-15-2014 ESTATE OF: EARLEY DOROTHY J DATE OF DEATH:01-30-2013 COUNTY:CUMBERLAND FILE NO. : 21 13-0144 S.SID.C. NO. : ACN: 13155057 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION ,, FINANCIAL INSTITUTION: EE PATRIOT BOND ACCOUNT NO. : 00 TYPE OF ACCOUNT: C )SAVINGS O0 CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 01-30-2013 Account Balance 1,040. 16 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 1 .000 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 11040.16 UPPER PORTION OF THIS NOTICE Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 1,040.16 REGISTER OF WILLS AT THE -: Tax Rate x .045 ABOVE ADgRESS. MAgE CHECK Tax Due 46.81 OR MONEYCOUER P4*'ABLPrr0A.. "REGISTEg Of WILLS AR Nca." TAX CREDITS: r*I --o CA PAYMENT RECEIPT DISCOUNT C+) H-1 )-' r— F--` i rrI DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID Z cil :;0 Q ca O :.? w I -T1 � N r FTI FV Ca fV INTEREST IS CHARGED THROUGH 09-23-2014 TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 46.81 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1 .26 TOTAL DUE 48.07 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. pennsylvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE 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 09-15-2014 ESTATE OF EARLEY DOROTHY J DATE OF DEATH 01-30-2013 FILE NUMBER 21 13-0144 COUNTY CUMBERLAND SSN/DC MIKE EARLEY ACN 13155059 OLD MILL ROAD APPEAL BY DATE:11-14-2014 NEWV I L L E PA 17241 (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 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: 09-15-2014 ESTATE OF: EARLEY DOROTHY J DATE OF DEATH:01-30-2013 COUNTY: CUMBERLAND FILE NO. : 21 13-0144 S.S/D.C. NO. : ACN: 13155059 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: EE PATRIOT BOND ACCOUNT NO. : 00 TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 01-30-2013 Account Balance 1,040. 16 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 1 .000 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 1 ,040.16 UPPER PORTION OF THIS NOTICE Debts and Deductions - . 00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 1,040. 16 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due 46.81 OR MONEY ORDER PA)gkBLE -O: "REGISTER OF WILDS, ABEIA. CD rn TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) � rnp (n .7 AMOUNT PAID (') S DATE NUMBER INTEREST/PEN PAID (-) ]� �-+ rn m D� G� Gn :T7 C7 p O -:7 c : -n a ~' r � r\) r- rn IV (n ,C ` fV INTEREST IS CHARGED THROUGH 09-23-2014 TOTAL TAX PAYMENT -.00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 46.81 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1 .26 TOTAL DUE 48.07 + 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. pennsylvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX ARP (12-15) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS DATE 09-15-2014 ESTATE OF EARLEY DOROTHY J DATE OF DEATH 01-30-2013 FILE NUMBER 21 13-0144 COUNTY CUMBERLAND SSN/DC LACY EVERT ACN 13155062 285 APPLEWOOD CIR APPEAL BY DATE:11-14-2014 NEWNAN GA 30263-5366 (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: 09-15-2014 ESTATE OF: EARLEY DOROTHY J DATE OF DEATH:01-30-2013 COUNTY:CUMBERLAND FILE NO. : 21 13-0144 S.S/D.C. NO. : ACN: 13155062 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: EE PATRIOT BOND ACCOUNT NO. : 00 TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 01-30-2013 Account Balance 157.60 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 1 .000 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 157.60 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 157.60 REGISTER OF WILLS AT THE Tax Rate Y .045 ABOVE ADDRESS. MAKE CHECK Tax Due 7.09 OR MONEY ORDER PAYABLE TD;' "REGISTEPOF WILL6�9,-- AGigNW." � TAX CREDITS: O J) M rri PAYMENT RECEIPT DISCOUNT (+) Co -0 rT1 O DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID T = C7 (n ."[7 11-01-2013 WRITEOFF .00 7.09 Z: mo co ..a :C O O m > r") co - fV TOTAL TAX PAYMENT 7,09 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. . J pennsylvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE __ 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 09-15-2014 ESTATE OF EARLEY DOROTHY J DATE OF DEATH 01-30-2013 FILE NUMBER 21 13-0144 COUNTY CUMBERLAND SSN/DC JADEN REED ACN 13155065 904 CEDARS RD APPEAL BY DATE:11-14-2014 LEWISBERRY PA 17339-9570 (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 ­10 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: 09-15-2014 ESTATE OF: EARLEY DOROTHY J DATE OF DEATH:01-30-2013 COUNTY:CUMBERLAND FILE NO. : 21 13-0144 S.S/D.C. NO. : ACN: 13155065 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: EE PATRIOT BOND ACCOUNT NO. : 00 TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 01-30-2013 Account Balance 157.60 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 1 . 000 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 157.60 UPPER PORTION OF THIS NOTICE Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 157.60 REGISTER OF WILLS AT THE Tax Rate x . 045 ABOVE ADDRESS. MAKE CHECK Tax Due 7. 09 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILD, AGENT." TAX CREDITS: n m PAYMENT RECEIPT DISCOUNT (+J cfl CR'7 AMOUNT PAID CD IT C1 GATE NUMBER INTEREST/PEN PAID (-) 'D Cn 11-01-2013 WRITEOFF .00 7.0 3 S: � r- cn z o cT1 -n c� (V Cn TOTAL TAX PAYMENT 7.09 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. ,`\C SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. (,p Z7 pennsylvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX '' DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE 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 09-15-2014 ESTATE OF EARLEY DOROTHY J DATE OF DEATH 01-30-2013 FILE NUMBER 21 13-0144 COUNTY CUMBERLAND SSN/DC BYRON PATTERSON ACN 13155068 350 DARREN DR APPEAL BY DATE:11-14-2014 FAYETTEVILLE GA 30215-2940 (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 F 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: 09-15-2014 ESTATE OF: EARLEY DOROTHY J DATE OF DEATH:01-30-2013 COUNTY:CUMBERLAND FILE NO. : 21 13-0144 S.S/D.C. NO. : ACN: 13155068 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: EE PATRIOT BONDS ACCOUNT NO. : 00 TYPE OF ACCOUNT: ( )SAVINGS 00 CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 01-30-2013 Account Balance 126.08 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 1 .000 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 126.08 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 126.08 REGISTER OF WILLS AT THE Tax Rate x . 045 ABOVE ADDRESS. MAKE CHECK Tax Due 5.67 OR MONEY ORDER PAYABLE TO.: v "REGISTER'�OF WILLa3 AGEN:-j" .. TAX CREDITS: C PAYMENT RECEIPT DISCOUNT (+) CA � 2 O DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID (71 = C7 '-O cr) 11-01-2013 WRITEOFF .00 5.67— M cn m m -- � o :; . ' n o O e C—D _ n N r rn f V (!) O fV T TOTAL TAX PAYMENT 5.67 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.