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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 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
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IC.Uv��t i�tj:..l! y JOINTLY HELD OR TRUST ASSETS
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(Z ,, , , _ , DATE 03-16-2015
ESTATE OF HOLLIBAUGH JOHN T
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" l U FILE NUMBER 21 14-0657
COUNTY CUMBERLAND
SSN/DC
SA} QH, HOL-LIBAUGH ACN 14120441
(��'0 SALEM`CHURCH RD APPEAL BY DATE:05-15-2015
CU E^C'ANICSBURG PA 17050-2874 (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: 03-16-2015
ESTATE OF: HOLLIBAUGH JOHN T DATE OF DEATH:03-28-2014 COUNTY:CUMBERLAND
FILE NO. : 21 14-0657 S.S/D.C. NO. : ACN: 14120441
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS IST FCU ACCOUNT NO. : 22501-00
TYPE OF ACCOUNT: ( X)SAVINGS ( ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 09-30-1979
Account Balance 4,115.79 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 685.98 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable' Amount 685.98 REGISTER OF WILLS AT THE
Tax Rate Y •00 ABOVE ADDRESS. MAKE CHECK
Tax Due •00 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX PAYMENT .00
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. J