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BUREAU��11 ((�� }}A�!RD�0FF/�i(�S'E OF NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITARC�WA rh ON APPRAISEMENT, ALLOWANCE OR DISALLOWANCE g- o -
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BOX 28¢¢Q3C8 I( WILLS OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRISBUR Y�1 8. JOINTLY HELD OR TRUST ASSETS
?01CJ PVIt! 20 20 DATE 04-20-2015
ESTATE OF KAUFFMAN EDWARD A
DATE OF DEATH 02-15-2015
CLEC .� OF FILE NUMBER 21 15-0248
ORPHANS' COUNTY CUMBERLAND
,. SSN/DC
BVtgRgyc--t` LE H'INKLE ACN 15116303
115 S PRINCE ST APPEAL BY DATE:06-19-2015
SHIPPENSBURG PA 17257-1921 (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 E�
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REV-1548 EX AFP (11-14)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 04-20-2015
ESTATE OF: KAUFFMAN EDWARD A DATE OF DEATH:02-15-2015 COUNTY:CUMBERLAND
FILE NO. : 21 15-0248 S.S/D.C. NO. : ACN: 15116303
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO. : 103001868
TYPE OF ACCOUNT: C )SAVINGS ( )0 CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 06-16-2000
Account Balance 357.33 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 178.67 UPPER PORTION OF THIS NOTICE
Debts and Deductions •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 178.67 REGISTER OF WILLS AT THE
Tax Rate Y . 15 ABOVE ADDRESS. MAKE CHECK
Tax Due 26.80 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
PAYMENT MUST BE MADE BY 11-16-2015*. TOTAL TAX PAYMENT . 00
BALANCE OF TAX DUE 26.80
INTEREST AND PEN. .00
TOTAL DUE 26.80
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.