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NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE
INHERITANCE TAX O1,V14S4,ON r-[:I r, APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO B I\JF "i I OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRISBURG PA I I I c
JOINTLY HELD OR TRUST ASSETS
DATE 06-08-2015
1 09 ROBERS
S J, N Pk ' 2 DATEESTATE OFOF DEATH 02-14-T2015 JUNE A
FILE NUMBER 21 15-0509
COUNTY CUMBERLAND
O)
SSN/DC
CRYSTAA
IM ' 'KERNS" "KE RACN 15114798
1-
18160k4SHMAN GARDEN DR APPEAL BY DATE:08-07-2015
CARLISLE PA 17013 (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
H�:H4g_U-APVZH_145--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 06-08-2015
ESTATE OF; ROBERTS JUNE A DATE OF DEATH:02-14-2015 COUNTY:CUMBERLAND
FILE NO. : 21 15-0509 S.S/D.C. NO. : ACN: 15114798
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION:-MEMBERS IST FCU ACCOUNT NO. : 50338-00
TYPE OF ACCOUNT: ( ))SAVINGS C CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 01-23-1973
Account Balance 1,269.27 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 634.64 UPPER PORTION OF THIS NOTICE
Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 634.64 REGISTER OF WILLS AT THE
Tax Rate y .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 28.56 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
05-13-2015 CD020656 1.43 27.13
TOTAL TAX PAYMENT 28.56
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. �01