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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 � BCj��2�ED QFFI�E �FOF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11 14)
HARRISBURG PA 1 OXX 1 JOINTLY HELD OR TRUST ASSETS
REGISTER OF WILLS
DATE 12-22-2014
ESTATE OF POLAN RICHARD L
201 SEC 19 Ar 1120 DATE OF DEATH 10-29-2014
FILE NUMBER 21 14-1108
CLERK OF COUNTY CUMBERLAND
SSN/DC
DIANA ORPOHsSWMOURT ACN 14161848
104 SM&B LMK ,1TCO1 , PA APPEAL BY DATE:02-20-2015
MECHANICSBURG PA 17055-6307 (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
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REV-1548 EX AFP C11-14)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 12-22-2014
ESTATE OF: POLAN RICHARD L DATE OF DEATH:10-29-2014 COUNTY:CUMBERLAND
FILE NO. : 21 14-1108 S.S/D.C. NO. : ACN: 14161848
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS IST FCU ACCOUNT NO. : 275020-00
TYPE OF ACCOUNT: ( ))SAVINGS C ) CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 11-18-2005
Account Balance 510. 17 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 255.09 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 255.09 REGISTER OF WILLS AT THE
Tax Rate x . 045 ABOVE ADDRESS. MAKE CHECK
Tax Due 11 .48 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-18-2014 CDO19939 .54 10.20
12-15-2014 SBADJUST .00 .74
TOTAL TAX PAYMENT 11 .48
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.