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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
:- rTORDED rq:\\:&.6ncE OF INHERITANCE TAX
-k.'j - I.::" A~R~i~~NT. ALLOWANCE OR DISALLOWANCE
'-lr::C' ifH)tliDEDUCHONS. AND ASSESSMENT OF TAX ON
" .\./.~.~ JOINTLY HELD OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
ADELINE
23RD STREET
ENOLA
lfiO~ DEe' 5 AM \\: 34
CLERK OF
ORPHAN'S COURT \
GOUSE cu~./r:~~!'.'r ('0 . P,!'"
EXT
PA 17025
.
REV-1548 EX AFP (06-05)
DATE 12-18-2006
ESTATE OF GOUSE WAL TER E
DATE OF DEATH 10-01-2006
FILE NUMBER 21 06-1050
COUNTY CUMBERLAND
SSN/DC 714-18-2611
ACN 06157532
APPEAL DATE: 02-16-2007
(See reverse side under Objections)
Amount Remitted I I
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 +-
REV=is4i-EX-AFP-lo3=Osi---------------------------------------------_______________________
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 12-18-2006
ESTATE OF GOUSE
WALTER
CUMBERLAND
E DATE OF DEATH 10-01-2006
FILE NO. 21 06-1050
TAX RETURN WAS:
COUNTY
S.S/D.C. NO. 714-18-2611
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK
ACN
06157532
ACCOUNT NO.
5130189166
TYPE OF ACCOUNT: ~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 02-15-2001
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
10,435.84
0.166
1, 739.34
.00
1,739.34
.00
.00
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 (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00 -
TOTAL DUE .oq... ,
. IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . '- t7
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
rr r
IF TOTAL DUE IS REFLECTED AS A CREDIT' ( CR). YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )