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BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX x. 71'' 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 SMITH CRYSTEL L
DATE OF DEATH 08-17-2013
FILE NUMBER 21 14-0707
COUNTY CUMBERLAND
SSN/DC
JOAN R LANDIS ACN 14140045
577 DORIS DR APPEAL BY DATE:10-24-2014
LEBANON PA 17046-4220 (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 (12-13)
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: SMITH CRYSTEL L DATE OF DEATH:08-17-2013 COUNTY:CUMBERLAND
FILE NO. : 21 14-0707 S.S/D.C. NO. : ACN: 14140045
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: JONESTOWN BK B TC ACCOUNT NO. : 723734
TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 07-08-2010
Account Balance 2,810.73 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 1 ,405.37 UPPER PORTION OF THIS NOTICE
Debts and Deductions - . 00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 1 ,405.37 REGISTER OF WILLS AT THE
Tax Rate x . 045 ABOVE ADDRESS. WE CHECK
Tax Due 63.24 OR MONEX-BORDER P�gABLF
TAX CREDITS: "REGISTI: G WILL, A .
06Ebl "
"M GO (n
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID ::0 D N CJ
DATE NUMBER INTEREST/PEN PAID (-) r- F)l rn
07-28-2014 CDO19490 . 00 63.247' N
O
08-18-2014 SBADJUST . 00 -'a rI -11
c:) 3 ?1
c
M
w Cn
O
TOTAL TAX PAYMENT 63.24
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.