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BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE ZI
PO BOX 2806 5C6/�/�-� r 2 n r OF OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRISBURG � (1V/12 -`O6R1 y JOINTLY HELD OR TRUST ASSETS
f� .. rti n� 4`t(''i- J f`
RE}"�GI ` ' DATE 02-24-2015
r*; ESTATE OF MOODY LORI A
%015 FEB 23 pF I i2 333 DATE OF DEATH 03-01-2014
FILE NUMBER 21 14-0488
G�Ef..; Vit" COUNTY CUMBERLAND
SSN/DC
LORI ORPH AN;MAGAHA�T ACN 14115932
228 t�ARFL•ELD-ST ^j, APPEAL BY DATE:04-25-2015
SHI ENSBURG PA 17257-2002 (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: 02-24-2015
ESTATE OF: MOODY LORI A DATE OF DEATH:03-01-2014 COUNTY:CUMBERLAND
FILE NO. : 21 14-0488 S.S/D.C. NO. : ACN: 14115932
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO. : 103004107
TYPE OF ACCOUNT: ( )SAVINGS ( )0 CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 03-24-2003
Account Balance 2,673.55 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 1 ,336.78 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 1,336.78 REGISTER OF WILLS AT THE
Tax Rate x . 15 ABOVE ADDRESS. MAKE CHECK
Tax Due 200.52 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 03-04-2015 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 200.52
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1 .53
TOTAL DUE 202.05
* 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`