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� NOTICE OF INHERITANCE TAX
BUREAU REIQf O?REr@A ��hC�G� �t F DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION _ APPRAISEMENT, ALLOWANCE OR DISALLOWANCE _.
PO BOX 280 1E !S FL,l 'l' OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
HIS MY 20 Rel 10 9 DATE 05-18-2015
ESTATE OF BERNER CLARENCE T
DATE OF DEATH 01-27-2015
CHI" OF FILE NUMBER 21 15-0347
ORPH,{<< +;' s' COUNTY CUMBERLAND
�, , SSN/DC
MT�k L BERNER ACN 15109597
8704 OLD LINE RD APPEAL BY DATE:07-17-2015
PHILADELPHIA PA 19128-2020 (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 F'
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: BERNER CLARENCE T DATE OF DEATH:01-27-2015 COUNTY:CUMBERLAND
FILE NO. : 21 15-0347 S.S/D.C. NO. : ACN: 15109597
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO. : 000005140004209
TYPE OF ACCOUNT: ( )SAVINGS O0 CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 07-11-2012
Account Balance 1,370.42 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 228.41 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 228.41 REGISTER OF WILLS AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 10.28 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
04-04-2015 CD020462 .51 9.77
TOTAL TAX PAYMENT 10.28
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.