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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-7548 EX AFP (12-13)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
DATE 08-18-2014
ESTATE OF STARNER MAE P
DATE OF DEATH 05-04-2014
FILE NUMBER 21 14-0634
COUNTY CUMBERLAND
SSN/DC
BARRY STARNER ACN 14144990
109 N SPORTING HILL RD APPEAL BY DATE:10-17-2014
MECHANICSBURG PA 17050-2454 (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: 08-18-2014
ESTATE OF:STARNER MAE P DATE OF DEATH:05-04-2014 COUNTY:CUMBERLAND
FILE NO, : 21 14-0634 S.S/D.C. NO. : ACN: 14144990
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: CITIZENS BANK OF PENNSYLVANIA ACCOUNT NO. : 6232313074
TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 04-15-2011
Account Balance 1 ,495.20 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 747.60 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 747.60 REGISTER OF WILLS AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 33.64 OR MONEY ORDER PAYABLE TO:
"REGISTER ,IZ5 WILLS, r'-RGENT."
TAX CREDITS:
x= �.n,� : r
PAYMENT RECEIPT DISCOUNT C+) C77'C-. C J<;?
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
G .-..
07-21-2014 CDO19439 1.68 31.96:.rr N
Z Q z,r
� - n
C�
D C;C:)
I4J "r7
TOTAL TAX PAYMENT 33.64
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.
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-1558 EX AFP (12-13)
HARRISBURG PA 17120-0601 JOINTLY HELD OR TRUST ASSETS
DATE 08-18-2014
ESTATE OF STARNER MAE P
DATE OF DEATH 05-04-2014
FILE NUMBER 21 14-0634
COUNTY CUMBERLAND
SSN/DC
BARRY STARNER ACN 14144991
109 N SPORTING HILL RD APPEAL BY DATE:10-17-2014
MECHANICSBURG PA 17050-2454 (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 (12-13)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 08-18-2014
ESTATE OF:STARNER MAE P DATE OF DEATH:05-04-2014 COUNTY: CUMBERLAND
FILE NO. : 21 14-0634 S.S/D.C. NO. : ACN: 14144991
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: CITIZENS BANK OF PENNSYLVANIA ACCOUNT NO. : 6232316227
TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 06-20-2011
Account Balance 162,871 . 12 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 81,435.56 UPPER PORTION OF THIS NOTICE
Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 81,435.56 REGISTER OF WILLS AT THE
Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 3,664.60 OR MONEY ORDER PAYABLE TO:
"REGISTER WILLS,=AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) (p'�: C m
AMOUNT PAID m C `� �CD
DATE NUMBER INTEREST/PEN PAID (-)
07-21-2014 CDO19439 183.23 3,481.37
D O .17 i
m
TJ
Q TJ �i
r1a
TOTAL TAX PAYMENT 3,664.60
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.
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 08-18-2014
ESTATE OF STARNER MAE P
DATE OF DEATH 05-04-2014
FILE NUMBER 21 14-0634
COUNTY CUMBERLAND
SSN/DC
BARRY STARNER ACN 14144992
109 N SPORTING HILL RD APPEAL BY DATE:10-17-2014
MECHANICSBURG PA 17050-2454 (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: 08-18-2014
ESTATE OF: STARNER MAE P DATE OF DEATH:05-04-2014 COUNTY:CUMBERLAND
FILE NO. : 21 14-0634 S.S/D.C. NO. : ACN: 14144992
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: CITIZENS BANK OF PENNSYLVANIA ACCOUNT NO. : 6257241252
TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST ( X)TIME CERTIFICATE
DATE ESTABLISHED 04-15-2011
Account Balance 81 ,847.62 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 40,923.81 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 40,923.81 REGISTER OF WILLS AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 1 ,841 .57 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-) _ -�-(
07-21-2014 CDO19439 92.08 1 ,750.90 –r rrl ,— -
ce c c;.)
rn C73
T r
TOTAL TAX PAYMENT {;842.98
BALANCE OF TAX DUE 1 .41CR
INTEREST AND PEN. .00
TOTAL DUE 1.41CR
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.