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BUREAU OF INDIVXDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSHENT OF TAX ON
~OINTLY HELD OR TRUST ASSETS
*'
REY-1548 EX AFP (03-0Sl
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
07-04-2005
LOUTZENHISER
08-02-2004
21 05-0223
CUMBERLAND
161-16-6184
04146309
Mount R..,i Heel
CALVIN
A
DAVID H LOUTZENHISER
764 AMSTERDAM RD
MOUNT LAUREL NJ 08054
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
1"'-;[I&1ri!!:~'.~G~~'....................................................................................
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 07-04-2005
ESTATE OF LOUTZENHISER
CALVIN
A DATE OF DEATH 08-02-2004
COUNTY
CUMBERLAND
FILE NO. 21 05-0223
TAX RETURN WAS:
S.S/D.C. NO. 161-16-6184
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
04146309
FINANCIAL INSTITUTION: PNC BANK
ACCOUNT NO.
5003759197
TYPE OF ACCOUNT: (Xl SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 10-16-2000
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
89,135.87
0.166
14,856.28
.00
14,856.28
.45
668.53
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAVMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAVABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAVMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
04-02-2005 CD005152 .00 668.53
TOTAL TAX CREDIT 668.53
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER THIS DATE, SEE REVERSE FDR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN .1, ND PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF TNIS FORH FOR INSTRUCTIONS. J
Q..S'<-
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
..
BUREAU OF INDIVIDuAL TAxeS
IMlERITAHCE l'AX DIVISION
PO BOX 250601
HARRISBURG PA 171ZS-D601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLDIIANCE DR DISALLDIIANCE
DF DEDUCTIONS, ANO ASSESSHENT OF TAX DN
JOINTLY HELD DR TRUST ASSETS
REY-1548 EX AFP (93-05)
Q
-
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
07-04-2005
LOUTZENHISER
08-02-2004
21 05-0223
CUMBERLAND
161-16-6184
04146311
AllOunt R..itted
CALVIN
A
DAVID H LOUTZENHISER
764 AMSTERDAM RD
MOUNT LAUREL NJ 08054
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
."'-;[I&1ri!!:~J.1r5J:-1J.I'....................................................................................
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 07-04-2005
ESTATE OF LOUTZENHISER
CALVIN
A DATE OF DEATH 08-02-2004
COUNTY
CUMBERLAND
FILE NO. 21 05-0223
TAX RETURN WAS:
S.S/D.C. NO. 161-16-6184
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
04146311
FINANCIAL INSTITUTION: PNC BANK
ACCOUNT NO.
5140110933
TYPE OF ACCOUNT: () SAVINGS (XI CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 02-01-1970
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
26,975.48
0.166
4,496.00
.00
4,496.00
.45
202.32
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
04-02-2005 CD005153 .00 202.32
TOTAL TAX CREDIT 202.32
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 LESS THAN $1, NO PAYKENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT"' ( CRJ, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORK FOR INSTRUCTIONS. J
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