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BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION AffqALSErT ALLOWANCE OR DISALLOWANCE 1
PO BOX 280601 RECORDED 06F D&UC �ON� Q
DONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRISBURG PA 17128-0601 -"' r,,- V11��I�TLY HELD OR TRUST ASSETS
REGI.;- T , ,
DATE 09-07-2015
SEP 8 M 12 z ESTATE OF HEPFER KEITH A
DATE OF DEATH 06-07-2015
FILE NUMBER 21 15-0732
CLE COUNTY CUMBERLAND
SSN/Dc
ERNEST A HEPFEQZRP' ACN 15132991
206 MCLAND RD CUMBLi. APPEAL BY DATE:11-06-2015
MT HOLLY SPGS PA 17065-1915 (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 4-
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REV-1548 EX AFP CI1-14)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 09-07-2015
ESTATE OF: HEPFER KEITH A DATE OF DEATH:06-07-2015 COUNTY:CUMBERLAND
FILE NO. : 21 15-0732 S.S/D.C. NO. : AGN: 15132991
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION:-MEMBERS 1ST FCU ACCOUNT NO. : 212916-11
TYPE OF ACCOUNT: C )SAVINGS ( )0 CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 01-10-2002
Account Balance 3,219.21 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 536.55 UPPER PORTION OF THIS NOTICE
Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 536.55 REGISTER OF WILLS AT THE
Tax Rate y . 15 ABOVE ADDRESS. MAKE CHECK
Tax Due 80.48 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
08-03-2015 CD021055 4.02 80.48
TOTAL TAX PAYMENT 84.50
BALANCE OF TAX DUE 4.02CR
INTEREST AND PEN. .00
TOTAL DUE 4.02CR
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.