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BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TA W , APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
PO BOX 280601 t , _C"D 0I�i U E 0 FREV-1548 EX AFP (11-14)
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 1�7,.Bfo-' .- - �' i€ JOINTLY HELD OR TRUST ASSETS
DATE 05-18-2015
��15 MY 2� � 1� �� ESTATE OF EUTZY JOHN E
iDATE OF DEATH 11-02-2013
FILE NUMBER
GLE' F COUNTY CUMBERLAND
{a T SSN/DC
CAROL G ' E' �'AL'ISBURY '..
ACN 14134563
APT 1G8��AP r , APPEAL BY DATE:07-17-2015
2 W PENN ST (See reverse side under Objections)
CARLISLE PA 17013-2357 Amount Remitted I
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 (--
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: 05-18-2015
ESTATE OF: EUTZY JOHN E DATE OF DEATH:11-02-2013 COUNTY:CUMBERLAND
FILE NO. : S.S/D.C. NO. : ACN: 14134563
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SANTANDER BANK ACCOUNT NO. : 1691025054
TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 05-03-1999
Account Balance 3,164.97 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 1,582.49 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 1 ,582.49 REGISTER OF WILLS AT THE
Tax Rate x . 15 ABOVE ADDRESS. MAKE CHECK
Tax Due 237.37 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 05-26-2015 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 237.37
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 5.78
TOTAL DUE 243. 15
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.