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BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280 ((��((��F�j1,r-0 r r 1 C E 0 F OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRISBURG � Y7Y28-b 601 JOINTLY HELD OR TRUST ASSETS
DATE 05-11-2015
�Ql� OU �� p� �� �� ESTATE OF ESPENSHADE CONSTANCE M
U 11 �� II DATE OF DEATH 09-26-2013
FILE NUMBER 21 13-1093
C L Et: C F COUNTY CUMBERLAND
I�1�Pfin�+pINDER? SSN/DC
PORS
ACN 15111519
APt�2fAREF ` '' � `"; , FA APPEAL BY DATE:07-10-2015
200 N 2ND ST (See reverse side under Objections)
WORMLEYSBURG PA 17043-1153 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: 05-11-2015
ESTATE OF: ESPENSHADE CONSTANCE M DATE OF DEATH:09-26-2013 COUNTY:CUMBERLAND
FILE NO. : 21 13-1093 S.S/D.C. NO. : ACN: 15111519
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: RITE AID 401K ACCOUNT NO. : 99999
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 09-26-2013
Account Balance 6,842.44 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 1.000 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 6,842.44 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 6,842.44 REGISTER OF WILLS AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 307.91 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-11-2015 CD020341 .00 307.91
05-01-2015 WRITEOFF .00 6.51
TOTAL TAX PAYMENT 307.91
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.