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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
BUREAU OF INDIVIDUAL tAxeS
INHERITANCE TAX DIVISION . --
PO BOX Z8D601
HARRISBURG PA 171Za-06DI
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS , AND ASSESSHENT OF TAX ON
~OINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (03-051
[ -, ! I; I: 56
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
06-20-2005
THIEME
11-10-2004
21 05-0264
CUMBERLAND
180-01-4596
05106586
Idtount R_i tted
MARIE
A
OFT;;
,....., H_ .-,--.-- -
HERBERT C '-1HIEME JR
15 MANOR DR
MECHANICSBURG PA 17055
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 ~
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NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-20-2005
ESTATE OF THIEME
MARIE
A DATE OF DEATH 11-10-2004
COUNTY
CUMBERLAND
FILE NO. 21 05-0264
TAX RETURN WAS:
S.S/D.C. NO. 180-01-4596
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05106586
FINANCIAL INSTITUTION: PSECU
ACCOUNT NO.
0180014596-551
TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST (Xl TIME CERTIFICATE
DATE ESTABLISHED 12-09-2000
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
101,943.16
0.166
16,990.87
10,074.01
6,916.86
.45
311.26
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 (-)
03-23-2005 CD005117 .00 311 .26
TOTAL TAX CREDIT 311.26
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 TDTAL DUE IS LESS THAN $1, ND PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A RCREDITR ( CRI, YOU HAY BE DUE A REFUND.
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