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BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
PO BOX 28060 n n� OFFICE O r OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRISBURG P "O. r JOINTLY HELD OR TRUST ASSETS
REGI ! %:" �t ,r� _?_J
�Cp r Ffl m DATE 09-15-2015
ESTACOMBS JR
HIS 19 113 DATETOFODEATH 04-13-2015 ROY E
SE
FILE NUMBER 21 15-0453
C LC k 1_2 r COUNTY CUMBERLAND
SSN/DC
MARTHj@RPW,f,?ARV.IS -T ACN 15123671
18 l / Di`DR APPEAL BY DATE:11-14-2015
SANDY HOOK CT 06482-1531 (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 E—
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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: 09-15-2015
ESTATE OF:000MBS JR ROY E DATE OF DEATH:04-13-2015 COUNTY:CUMBERLAND
FILE NO. : 21 15-0453 S.S/D.C. NO. : ACN: 15123671
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS IST FCU ACCOUNT NO. : 311845-00
TYPE OF ACCOUNT: ( X)SAVINGS ( ) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 08-13-2007
Account Balance 7,570.88 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 3,785.44 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 3,785.44 REGISTER OF WILLS AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 170.34 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
08-06-2015 CD021088 .00 170.34
TOTAL TAX PAYMENT 170.34
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. \\�jl
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.