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BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
PO BOX 280601nn C/� OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRISBURG PA 17128-o4RiECORDED OFFICE OF JOINTLY HELD OR TRUST ASSETS
REGISTER OF WILLS DATE 04-13-2015
ESTATE OF KELCHNER HARLAN E
?015 PPR 13 PfI 1158 DATE OF DEATH 08-22-2013
FILE NUMBER vs-C)- .(D�?
COUNTY CUMBERLAND
CLERK OF SSN/DC
KAREN KnTfFJ�V�LE& UR1 ACN 14124674
4075 REG I�F{yyR$TY. ,1, n APPEAL BY DATE:06-12-2015
E N 0 L A uu rr+�� CC tt !PA 1 y 0 r5=1%0 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT 1'0:
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: 04-13-2015
ESTATE OF: KELCHNER HARLAN E DATE OF DEATH:08-22-2013 COUNTY:CUMBERLAND
FILE NO. : S.S/D.C. NO. : ACN: 14124674
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO. : 746000540
TYPE OF ACCOUNT: ( ))SAVINGS ( ) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 02-22-2011
Account Balance 12,112.89 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 6,056.45 UPPER PORTION OF THIS NOTICE
Debts and Deductions •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 6,056.45 REGISTER OF WILLS AT THE
Tax Rate Y . 15 ABOVE ADDRESS. MAKE CHECK
Tax Due 908.47 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 04-21-2015 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 908.47
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 24.88
TOTAL DUE 933.35
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.