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BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE QV
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRISBURG PA 17128-0601 RECORDnLrJV1.Y'rHEu6t(� RUST ASSETS
REGIS TIER GF WILL SDATE 08-24-2015
1 Q r ESTATE OF WOLF THEETTA P
DATE OF DEA07-04-2014
?015 RUG 26 Pn 3 3HILE NUMBERTH 21 14-0684
COUNTY CUMBERLAND
CLE,, OF SSN/DC
RONALD E WOLF ORRR��r� C-U\ T ACN APPEAL BY DATE15143674
104
1635 W LISBURN RD 23-20 15
MECHANICSBURG PA 17 &�f7t8 AND C,';., pIAi (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
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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: 08-24-2015
ESTATE OF:WOLF THEETTA P DATE OF DEATH:07-04-2014 COUNTY:CUMBERLAND
FILE NO. : 21 14-0684 S.S/D.C. NO. : ACN: 15143674
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: JOHN HANCOCK ACCOUNT NO. : 2693959
TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 07-04-2014
Account Balance 22,484.33 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.333 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 7,494.70 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 7,494.70 REGISTER OF WILLS AT THE
Tax Rate x . 15 ABOVE ADDRESS. MAKE CHECK
Tax Due 1, 124.21 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
INTEREST IS CHARGED THROUGH 09-01-2015 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 1,124.21
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 13.83
TOTAL DUE 1,138.04
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.