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BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX �t DEPARTMENT Of REVENUE
INHERITANCE TAX 1D�IVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX@�D¢�nt nP;}609FFICE OF OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRIS 1y12 ' I JOINTLY HELD OR TRUST ASSETS
REGISTER CI WILLS
DATE 03-30-2015
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�� ESTATE OF HARRIS CHARLES W
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DATE OF DEATH 04-18-2014
FILE NUMBER Cf — -�36I
CLER_ OF' COUNTY CUMBERLAND
SSNCHa�I t� �tiAR�RIS ACN 122547
/DC 148752
`mJQOg,-N )kVE1 n F� .APPEAL BY DATE:05-29-2015
ENOLA PA 17025-2349 (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--
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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: 03-30-2015
ESTATE OF: HARRIS CHARLES W DATE OF DEATH:04-18-2014 COUNTY:CUMBERLAND
FILE NO. : S.S/D.C. NO. : ACN: 14122547
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 260347-11
TYPE OF ACCOUNT: ( )SAVINGS ( )0 CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 02-23-2005
Account Balance 3,406.01 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 1,703.01 UPPER PORTION OF THIS NOTICE
Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 1 ,703.01 REGISTER OF WILLS AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 76.64 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
INTEREST IS CHARGED THROUGH 04-07-2015 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 76.64
REVERSE SIDE OF THIS FORM INTEREST AND PEN. .50
TOTAL DUE 77.14
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.