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BlJ}2 /l'egFLIMDIVIDuy XES NOTICE OF INHERITANCE TAX
IN ITANC� TAX•DIwISION",i APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
PO -01
- OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRISBURG PA 17128-0601 p JOINTLY HELD OR TRUST ASSETS
?els FEB 23 FF, �`� L DATE 02-24-2015
ESTATE OF GUILLIAMS JOHN W
cj [F: CF DATE OF DEATH 04-15-2014
FILE NUMBER 21 14-0463
ORPHAN' t`^ COUNTY CUMBERLAND
-��^'. , } SSN/DC
uT RESA -HOLLINGER ACN 14131360
401 E PORTLAND ST APPEAL BY DATE:04-25-2015
MECHANICSBURG PA 17055-3357 (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
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: 02-24-2015
ESTATE OF:GUILLIAMS JOHN W DATE OF DEATH:04-15-2014 COUNTY:CUMBERLAND
FILE NO. : 21 14-0463 S.S/D.C. NO. : ACN: 14131360
TAX RETURN WAS: C ) ACCEPTED AS FILED (X) CHANGED SEE ATTACHED NOTICE
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 153723-00
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING CX)TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 08-25-1995
Account Balance 11 ,848.01 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 1.000 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 11,848.01 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 11,848.01 REGISTER OF WILLS AT THE
Tax Rate x .15 ABOVE ADDRESS. MAKE CHECK
Tax Due 1,777.20 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
01-08-2015 CD020114 .00 1,020.08
INTEREST IS CHARGED THROUGH 03-04-2015 TOTAL TAX PAYMENT 1,020.08
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 757.12
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 2.98
TOTAL DUE 760. 10
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.
REV-1470 EX(01.10) '
2114-0463
Y10� ARM INHERITANCE TAX
REATOF-REUEN,Ug EXPLANATION 04/15/2014
fZEi� I ;_s .vl
BUREAU OF INDIVIDUALrTAXES OF CHANGES
AA Rs-o 0
DECEDENTS NAME T"
C�-J-oh`n�'W Gu.11ianis 2114-0463
REVIEWED BY ACN
C U Ll E=Robin L Agent 191 141313606
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
The claimed bills pertaining to the funeral and the urn and other debts are not allowed
against the jointly held accounts. These expenses are probate deductions, which the
estate attorney, executor or executrix are required to claim; the decedent's estate will
have to reimburse you for these paid debts.
The named debts were claimed on Schedule H of the Rev-1500.
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