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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-1548 EX AFP (12-13)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
DATE 08-25-2014
ESTATE OF KNOHR ELSIE S
DATE OF DEATH 07-20-2013
FILE NUMBER 21 13-0923
COUNTY CUMBERLAND
SSN/DC
DAVID M CLECK ACN 13149280
20 WATTS LN APPEAL BY DATE:10-24-2014
CARLISLE PA 17013-7750 (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 --I' RETAIN LOWER PORTION FOR YOUR RECORDS 4'—
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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: 08-25-2014
ESTATE OF: KNOHR ELSIE S DATE OF DEATH:07-20-2013 COUNTY:CUMBERLAND
FILE NO. : 21 13-0923 S.S/D.C. NO. : ACN: 13149280
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO. : 5140303364
TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 04-01-2008
Account Balance 50,362.79 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0 .500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 25,181 .40 UPPER PORTION OF THIS NOTICE
Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 25, 181 .40 REGISTER OF WILLS AT THE
Tax Rate X . 15 ABOVE ADDRESS. WE CHECK
Tax Due 3,777.21 OR MONE10ORDER PqABLK,, F®:
"REGIST� CF WILL$, ARSE;7.'1
TAX CREDITS: Co c O
PAYMENT RECEIPT DISCOUNT
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 70 CNP �, rh
CP
47 O
n
rIl ;
!V Cf)
CAO n
INTEREST IS CHARGED THROUGH 09-02-2014 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 3,777.21
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 41 .81
TOTAL DUE 3,819.02
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.