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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
p::rnR:'1r:n t)r.j~Jti~~OF INHERITANCE TAX
::- '- ,-. ~LAipnl-tSEMiNt,~- ALLOWANCE OR DISALLOWANCE
r':~GC ~jDE~t~o~, AND ASSESSMENT OF TAX ON
- 'JOINTL'Y HELD OR TRUST ASSETS
'*
2aos DEe 26 PM 12: '4
CLERK OF
OR.I.PHL~;\J'( ("('\/ )RT
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DEBRA RILEY CUt,.I:-" r-J'; .0;\
645 KNIGHTBRIDGE DR
HAGERSTOWN MD 21740
REV-1548 EX AFP (06-05)
DATE 12-25-2006
ESTATE OF KEITER DEAN C
DATE OF DEATH 08-20-2006
FILE NUMBER 21 06-0836
COUNTY CUMBERLAND
SSN/DC 162-20-8724
ACN 06154030
APPEAL DATE: 02-23-2007
(See reverse side under Objections)
Amount Remitted I l
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 4-
REY=is4S-EX-AFP-C03=OSj-----------------___________________________________________________
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 12-25-2006
ESTATE OF KEITER
DEAN
C DATE OF DEATH 08-20-2006
S.S/D.C. NO. 162-20-8724
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FILE NO. 21 06-0836
TAX RETURN WAS:
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
COUNTY
CUMBERLAND
ACN
06154030
ACCOUNT NO.
160332-11
TYPE OF ACCOUNT: ()SAVINGS ~) CHECKING ()TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 08-17-2001
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
2,067.22
0.500
1,033.61
.00
1,033.61
.45
46.51
TAX CREDITS:
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."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
PAYMENT MUST BE MADE BY 05-21-2007*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 46.51
INTEREST AND PEN. .00
TOTAL DUE 46.51
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. "
IF TOTAL DUE IS REFLECTED AS A ..CREDIT" ( CR), YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. )