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Home My WebLink About10-20-14 e pennsylvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION -"CORDED C �AAPPRAISEMENT, ALLOWANCE OR DISALLOWANCE ___._I PO BOX 280601 RrCORDED OF ICC Vi DUCTIONS, AND ASSESSMENT OF TAX ON REV-IS48 EX AFP (12-13) HARRISBURG PA 17128-U6OT JOINTLY HELD OR TRUST ASSETS REGISTER OF MILLS DATE 10-21-2014 HOSE 2014 PUT 20 Fn 12 13 DATETOFODEATH 12-29-2013 RICHARD M u FILE NUMBER 21 14-0845 CLER�, OF COUNTY CUMBERLAND SSN/DC JILL OR&WEIsRi- URT ACN 14102422 1000 CLAR bgflRID ;i�� vn � APPEAL BY DATE:12-20-2014 CARLISLE PA 17013-7310 (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 —01 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: 10-21-2014 ESTATE OF: HOUSE RICHARD M DATE OF DEATH:12-29-2013 COUNTY:CUMBERLAND FILE NO. : 21 14-0845 S.S/D.C. NO. : ACN: 14102422 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 1016-00 TYPE OF ACCOUNT: ( )OSAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 05-16-1951 Account Balance 39,563.86 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 6,594.11 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 6,594. 11 REGISTER OF WILLS AT THE Tax Rate Y .045 ABOVE ADDRESS. MAKE CHECK Tax Due 296.73 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 09-11-2014 CDO19673 .00 296.73 TOTAL TAX PAYMENT 296.73 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. BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX Pennsylvania INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE _ DEPARTMENT OF REVENUE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-13) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS RECORDED ODATE 10-21-2014 REGJq- OFF OF ESTATE OF HOUSE RICHARD M -� � ','TILLS DATE OF DEATH 12-29-2013 ?01V n �� FILE NUMBER 21 14-0845 1 m COUNTY CUMBERLAND 1 �2 13 SSN/DC GLORIA M HOUSEACN 14102423 441 W MAPLEWOOD AX CLE ; APPEAL BY DATE:12-20-2014 MECHANICSBURG A it U1B 41-24- (See reverse side under Objections) CU14BE ?L R , .,y , 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: 10-21-2014 ESTATE OF: HOUSE RICHARD M DATE OF DEATH:12-29-2013 COUNTY:CUMBERLAND FILE NO. : 21 14-0845 S.S/D.C. NO. : ACN: 14102423 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS IST FCU ACCOUNT NO. : 1016-00 TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 05-16-1951 Account Balance 39,563.86 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 6,594. 11 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 6,594.11 REGISTER OF WILLS AT THE Tax Rate Y .00 ABOVE ADDRESS. MAKE CHECK Tax Due .00 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX PAYMENT .00 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. (v�_. a pennsyLvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280 60B �� + -�- OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13) HARRISBURG P YY12�`bb�`GGddP- JOINTLY HELD OR TRUST ASSETS REGISTER CF TWILLS DATE 10-21-2014 nib �} m ESTATE OF HOUSE RICHARD M Z,919 OCT LQ FM 12 14 DATE OF DEATH 12-29-2013 FILE NUMBER 21 14-0845 CLEF, ^: COUNTY CUMBERLAND SSN/DC JILL 0RPHA,'A-lUSESHITH ACN 14102424 100ItTMAI,fM,RNTi;RD 2i APPEAL BY DATE:12-20-2014 CARLISLE P A 17013-7310 (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: 10-21-2014 ESTATE OF: HOUSE RICHARD M DATE OF DEATH:12-29-2013 COUNTY:CUMBERLAND FILE NO. : 21 14-0845 S.S/D.C. NO. : ACN: 14102424 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 1016-04 TYPE OF ACCOUNT: ( ))SAVINGS ( ) CHECKING ( )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 05-16-1951 Account Balance 4,000.46 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 666.76 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 666.76 REGISTER OF WILLS AT THE Tax Rate Y .045 ABOVE ADDRESS. MAKE CHECK Tax Due 30.00 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID 09-11-2014 CDO19673 .00 30.00 TOTAL TAX PAYMENT 30.00 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. ° BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX PennsylvaniaDEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 �ECORDED OFFICUOFDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13) HARRISBURG PA 17128-06 11��Uhh c?_ ? �lr_ ii��S JOINTLY HELD OR TRUST ASSETS ft nn ;� DATE 10-21-2014 ESTAHOSE ?JIilli 1 OCT 20 Fi i 12 19-- DATETOFODEATH 12-29-2013 RICHARD M FILE NUMBER 21 14-0845 CLER;t r'' COUNTY CUMBERLAND SSN/DC GLORIA M M0 E;Tr� �vU'"I ACN 14102425 441 W MAPL"0 AVE,'; S ,' `t APPEAL BY DATE:12-20-2014 MECHANICSBURG PA 17055-4124 (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: 10-21-2014 ESTATE OF: HOUSE RICHARD M DATE OF DEATH:12-29-2013 COUNTY:CUMBERLAND FILE NO. : 21 14-0845 S.S/D.C. NO. : ACN: 14102425 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 1016-04 TYPE OF ACCOUNT: O)SAVINGS C ) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 05-16-1951 Account Balance 4,000.46 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 666.76 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 666.76 REGISTER OF WILLS AT THE Tax Rate Y .00 ABOVE ADDRESS. MAKE CHECK Tax Due .00 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. * V11 IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. w 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 RECORDED OFFICE O1F'INTLY HELD OR TRUST ASSETS REGISTER OF ,'ILLS DATE 10-21-2014 ESTATE OF HOUSE RICHARD M Zply t DATE OF DEATH 12-29-2013 �VT 20 GM 12 u 1 1 FILE NUMBER 21 14-0845 COUNTY CUMBERLAND CLERK OF SSN/DC JILL HBRTP�S,,NT-H COURT ACN 14102426 1000 CLAREMftMORB 7,+ APPEAL BY DATE:12-20-2014 CARLISLE A 17013}751Ua (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: 10-21-2014 ESTATE OF: HOUSE RICHARD M DATE OF DEATH:12-29-2013 COUNTY:CUMBERLAND FILE NO. : 21 14-0845 S.S/D.C. NO. : ACN: 14102426 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 1016-11 TYPE OF ACCOUNT: C )SAVINGS ( )0 CHECKING C )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 10-25-1996 Account Balance 5,638.99 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 939.85 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 939.85 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due 42.29 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 09-11-2014 CDO19673 .00 42.29 TOTAL TAX PAYMENT 42.29 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. BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX pennsylvania INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE PO BOX 280601r D CTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13) HARRISBURG PA 17128-0601RECORDED OFFl E OINTLY HELD OR TRUST ASSETS REGIS-)---` OF V!ILLS DATE 10-21-2014 ESTATE OF HOUSE RICHARD M 2014 JCT 20 Flit 12 19 DATE OF DEATH 12-29-2013 FILE NUMBER 21 14-0845 COUNTY CUMBERLAND SSN/DC GLORIA M HAQ$ { ;��' ��it; j ACN 14102427 441 W MAPLEed PBhYf e T . ��,, APPEAL BY DATE:12-20-2014 MECHANICSBURG PA 17055-4124 (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 C12-13)-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-21-2014 ESTATE OF: HOUSE RICHARD M DATE OF DEATH:12-29-2013 COUNTY:CUMBERLAND FILE NO. : 21 14-0845 S.S/D.C. NO. : ACN: 14102427 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS IST FCU ACCOUNT NO. : 1016-11 TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 10-25-1996 Account Balance 5,638.99 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 939.85 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 939.85 REGISTER OF WILLS AT THE Tax Rate x .00 ABOVE ADDRESS. MAKE CHECK Tax Due .00 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX PAYMENT .00 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. BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX PennsylvaniaDEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 &1 Df UCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13) HARRISBURG PA 17128-0601 R EC 0 R D�.D f i6--DrGEY QIRLD OR TRUST ASSETS REGISTZ i ^F WILLS DATE 10-21-2014 ESTATE OF HOUSE RICHARD M 214 00 I 7 2U(� PM 12 Iy DATE OF DEATH 12-29-2013 FILE NUMBER21 14-0845 COUNTY CUMBERLAND CL SSN/DC JILL HOUSESM r ACN 14102428 1000 CLAREMONT RD CU M F APPEAL BY DATE:12-20-2014 CARLISLE PA 1O 1 =-73 10 r 'k (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: 10-21-2014 ESTATE OF: HOUSE RICHARD M DATE OF DEATH:12-29-2013 COUNTY:CUMBERLAND FILE NO. : 21 14-0845 S.S/D.C. NO. : ACN: 14102428 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 1016-05 TYPE OF ACCOUNT: ( )()SAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 10-25-1993 Account Balance 3,392.26 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 565.39 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 565.39 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due 25.44 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 09-11-2014 CDO19673 .00 25.44 TOTAL TAX PAYMENT 25.44 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. 7. n ` pennsylvania REGOR[?ci� OFFICECE DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAX r EMENT, OF INHERITANCE TAX INHERITANCE TAX DIVISION �� STE s�DE l9 I0NS,AANDWASSESSMENTANCE OR SOFLTAXNON REV-1548 EX AFP (12-13) PO BOX HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS U103 20 pI �m 12 19 DATE 10-21-2014 ESTATE OF HOUSE RICHARD M CLFf{, OF DATE OF DEATH 12-29-2013 �RP �� ' 7 FILE NUMBER 21 14-0845 COUNTY CUMBERLAND CUMBER1 Ah'ED C0 SSN/DC GLORIA M HOUSE ACN 14102429 441 W MAPLEWOOD AVE APPEAL BY DATE:12-20-2014 MECHANICSBURG PA 17055-4124 (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 zli:B5-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-21-2014 ESTATE OF: HOUSE RICHARD M DATE OF DEATH:12-29-2013 COUNTY:CUMBERLAND FILE NO. : 21 14-0845 S-S/D.C. NO. : ACN: 14102429 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 1016-05 TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 10-25-1993 Account Balance 3,392.26 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 565.39 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 565.39 REGISTER OF WILLS AT THE Tax Rate y.00 ABOVE ADDRESS. MAKE CHECK Tax Due .00 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX PAYMENT .00 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. C�yJV NOTICE OF INHERITANCE TAX ai P`nnSyLVa1 iia BUREAU OF INDIVIDUAL TAXES 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 RECORDED OFFICE OF DATE 10-21-2014 ESTATE OF HOUSE RICHARD M REGISTER OF WILLS DATE OF DEATH 12-29-2013 FILE NUMBER 21 14-0845 COUNTY CUMERAND Z014 OCT 20 IFM 12 19 SSN/DC JILL HOUSESMITH ACN 14102430 1000 CLAREMONT RD C L E1% , OF APPEAL BY DATE:12-20-2014 CARLISLE O R ft X1[7 613-7 3 T 0' (See reverse side under Objections) CUMBERL A i:— - Amount Remitted ' MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE --0- 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: 10-21-2014 ESTATE OF: HOUSE RICHARD M DATE OF DEATH:12-29-2013 COUNTY:CUMBERLAND FILE NO. : 21 14-0845 S.S/D.C. NO. : ACN: 14102430 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS IST FCU ACCOUNT NO. : 17833-00 TYPE OF ACCOUNT: CX)SAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 11-12-1975 Account Balance 52,937.24 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 8,823.05 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 8,823.05 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due 397.04 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 09-11-2014 CDO19673 .00 397.04 TOTAL TAX PAYMENT 397.04 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. BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX Q77pennsyLvaniaDEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE C 7r n rAND REV-1548 EX AFP (12-13) PO BOX 280601 RECORDED P�} O�T'MI , ELD OR TRUST ASSETS AX ON HARRISBURG PA 17128-0601 REGISTER OF WILLS DATE 10-21-2014 T ESTATE OF HOUSE RICHARD M I ONCT 20 PM 12 14 DATE OF DEATH 12-29-2013 FILE NUMBER21 14-0845 COUNTY CUMBERLAND CLE,,;;; OF SSN/DC GLORIA M HOUSE ORPHANS' COURT ACN 14102431 441 W MAPLEWOOD "OMB ER LAINIQ liCAPPEAL BY DATE:12-20-2014 MECHANICSBURG PA 17055-4124 Rr{ (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: 10-21-2014 ESTATE OF: HOUSE RICHARD M DATE OF DEATH:12-29-2013 COUNTY:CUMBERLAND FILE NO. : 21 14-0845 S.S/D.C. NO. : ACN: 14102431 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 17833-00 TYPE OF ACCOUNT: ( X)SAVINGS ( ) CHECKING C )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 11-12-1975 Account Balance 52,937.24 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 8,823.05 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 8,823.05 REGISTER OF WILLS AT THE Tax Rate x .00 ABOVE ADDRESS. MAKE CHECK Tax Due .00 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX PAYMENT .00 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. BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX �~ P`nnSyLVa1 iia DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION _ APPRAISEMENT, ALLOWANCE OR DISALLOWANCE ___.._.._• PD BOX 280601 ��Cr1{��c ,p�D1J N/S� AND ASSESSMENT OF TAX ON REV-1548 EX AFP t12-13> HARRISBURG PA 17128-0601 UOR LL�- {�jj''�j� L0 ELD OR TRUST ASSETS REGIS TER, OF WILLS DATE 10-21-2014 t1 ESTATE OF HOUSE RICHARD M ?014 Off 20 FM 129 FDEATH 12-29-2013 FILE NUMBER21 14-0845 CLE, OF COUNTY CUMBERLAND SSN/DC JILL HOUSESI MHANS' COURT ACN 14102432 1000 CLAREMONT RCUMBERLA0ID 0 r ��F APPEAL BY DATE:12-20-2014 CARLISLE PA 17013-731 - (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: 10-21-2014 ESTATE OF: HOUSE RICHARD M DATE OF DEATH:12-29-2013 COUNTY:CUMBERLAND FILE NO. : 21 14-0845 S.S/D.C. NO. : ACN: 14102432 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 17833-04 TYPE OF ACCOUNT: C )OSAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 02-01-2001 Account Balance 4,000.46 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 666.76 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 666.76 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due 30.00 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID 09-11-2014 CDO19673 .00 30.00 TOTAL TAX PAYMENT 30.00 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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX pennsylvaniaDEPARTMENT OF REVENUE INHERITANCE TAX DIVISION p APPRAISEMENT, ALLOWANCE OR DISALLOWANCE ____. PO BOX 280601 it C�i(��fi0 rt� CFED6rCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13) HARRISBURG PA 17128-0601 �t ll�iC VViCJOINTLY HELD OR TRUST ASSETS DATER TE�� DATE 10-21-2014 ESTATE OF HOUSE RICHARD M 2014 GCT 20 PM 12 19 DATE OF DEATH 12-29-2013 FILE NUMBER 21 14-0845 CLEF,;, CF COUNTY CUMBERLAND SSN/DC GLORIA M 16 1f� PJ S' Cl;UR T ACN 14102433 441 W MAPLWp�pBEA-VE,jND ^I P APPEAL BY DATE:12-20-2014 MECHANICSBURG PA 17055-4124 (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 '-1 RETAIN LOWER PORTION FOR YOUR RECORDS REV-1548 EX AFP zli:133-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-21-2014 ESTATE OF: HOUSE RICHARD M DATE OF DEATH:12-29-2013 COUNTY:CUMBERLAND FILE NO. : 21 14-0845 S.S/D.C. NO. : ACN: 14102433 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS IST FCU ACCOUNT NO. : 17833-04 TYPE OF ACCOUNT: ( X)SAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 02-01-2001 Account Balance 4,000.46 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 666.76 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 666.76 REGISTER OF WILLS AT THE Tax Rate x .00 ABOVE ADDRESS. MAKE CHECK Tax Due .00 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX PAYMENT .00 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 (p} nn�j F DUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13) HARRISBURG PA 17128-ORjFCORDED OFFrIj(CS JOINTLY HELD OR TRUST ASSETS REGISTER OF WILLS DATE 10-21-2014 ��1tI r m ESTATE OF HOUSE RICHARD M `Ji I �L'T 2� I i� Z DATE OF DEATH 12-29-2013 FILE NUMBER 21 14-0845 CLEF,:' L,;_ COUNTY CUMBERLAND SSN/DC JILL QIWj$ESJM'I`T+.H """"- ACN 14102434 1000 CLARt%yj1ER:D , APPEAL BY DATE:12-20-2014 CARLISLE PA 17013-7310 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT 10: 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: 10-21-2014 ESTATE OF: HOUSE RICHARD M DATE OF DEATH:12-29-2013 COUNTY:CUMBERLAND FILE NO. : 21 14-0845 S.S/D.C. NO. : ACN: 14102434 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS IST FCU ACCOUNT NO. : 17833-05 TYPE OF ACCOUNT: ( X)SAVINGS C ) CHECKING C )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 10-25-1993 Account Balance 39,395.01 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 6,565.97 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 6,565.97 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due 295.47 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID 09-11-2014 CDO19673 .00 295.47 TOTAL TAX PAYMENT 295.47 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 REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX PennsylvaniaDEPARTMENT OF REVENUE INHERITANCE TAX DIVISION RECORDED C F Fop,sp CTIONS,ALLOWANCE ASSESSMENTDISALLOWANCE ON PO BOX 280601 REV-1548 IX AFP (12-13) HARRISBURG PA 17128-0601 RECIST-.� rF Y,')LLdOINTLY HELD OR TRUST ASSETS is DATE 10-21-2014 2014 10C IT 1 20 F;�i 12 14 ESTATE OF HOUSE RICHARD M DATE OF DEATH 12-29-2013 FILE NUMBER 21 14-0845 ((}}RR CLI- COUNTY CUMBERLAND GLORIA M HOUS�Hk '. SSN/DC �rr II�IIl�ll ACN 14102435 441 W MAPLEWOBD'I'A�E � APPEAL BY DATE:12-20-2014 MECHANICSBURG PA 17055-4124 (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: 10-21-2014 ESTATE OF: HOUSE RICHARD M DATE OF DEATH:12-29-2013 COUNTY:CUMBERLAND FILE NO. : 21 14-0845 S.S/D.C. NO. : ACN: 14102435 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 17833-05 TYPE OF ACCOUNT: ( ))SAVINGS C ) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 10-25-1993 Account Balance 39,395.01 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 6,565.97 UPPER PORTION OF THIS NOTICE Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 6,565.97 REGISTER OF WILLS AT THE Tax Rate Y .00 ABOVE ADDRESS. MAKE CHECK Tax Due .00 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. * C � IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. . � BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX PennsylvaniaDEPARTMENT 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 hECORDED OFFICE OF P�CGIST^R OF }ill s DATE 10-21-2014 ESTATE OF HOUSE RICHARD M DATE OF DEATH 12-29-2013 2014 010T 20 FM 12 14 FILE NUMBER 21 14-0845 COUNTY CUMBERLAND SSN/DC GLORIA M HOLO;IEEF;;� OF ACN 14139856 441 W MAPLE I tAYwE ( `'� �,j APPEAL BY DATE:12-20-2014 MECHANICS f; PA�17055-4124 (See reverse side under Objections) BERL k , to 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: 10-21-2014 ESTATE OF: HOUSE RICHARD M DATE OF DEATH:12-29-2013 COUNTY:CUMBERLAND FILE NO. : 21 14-0845 S.S/D.C. NO. : ACN: 14139856 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: SANTANDER BANK ACCOUNT NO. : 1681703882 TYPE OF ACCOUNT: C )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 12-05-1989 Account Balance 2,909.74 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 484.97 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 484.97 REGISTER OF WILLS AT THE Tax Rate Y .00 ABOVE ADDRESS. MAKE CHECK Tax Due .00 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. C IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. \ SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. NOTICE OF INHERITANCE TAX pennsyLvania BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601pp r OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13) HARRISBURG PA 171FsFoQ@ R D E D OFFICE Q F JOINTLY HELD OR TRUST ASSETS REGIS TE PF "'ILLS DATE 10-21-2014 ESTATE OF HOUSE RICHARD M 201tf 1 DuT 20 Fn 12 15 DATE OF DEATH 12-29-2013 FILE NUMBER 21 14-0845 r COUNTY CUMBERLAND SSN/DC JILL 0Rp�1MITcH l - ACN 14139857 Er 1000 Ct" WT, RD APPEAL BY DATE:12-20-2014 CARLISLE PA 17013'-7310 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT 10: 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: 10-21-2014 ESTATE OF: HOUSE RICHARD M DATE OF DEATH:12-29-2013 COUNTY:CUMBERLAND FILE NO. : 21 14-0845 S.S/D.C. NO. : ACN: 14139857 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: SANTANDER BANK ACCOUNT NO. : 1681703882 TYPE OF ACCOUNT: ( )SAVINGS ( )0 CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 12-05-1989 Account Balance 2,909.74 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 484.97 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 484.97 REGISTER OF WILLS AT THE Tax Rate Y . 15 ABOVE ADDRESS. MAKE CHECK Tax Due 72.75 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID INTEREST IS CHARGED THROUGH 10-29-2014 TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 72.75 REVERSE SIDE OF THIS FORM INTEREST AND PEN. .18 TOTAL DUE 72.93 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. `1^ SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. `�fW)