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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
. ~ Ofi.~=~NoTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL T AXE'" ('O~D.. . \--0. . . EHENT ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION Kt\) n \- ...' ,
PO BOX 280601 ~.E^IC'T~R r'\V~I" CTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 H IJiv;.... I \.,1 t JOINTLY HELD OR TRUST ASSETS
.
J
REV-1548 EX AFP (06-05)
200' SEP - \ PH Z: \ 9
~OF
~~S COUm
DOUGLAS J BET~ '-"'BERLAND CO.. PA
1342 SCONSETT WAttUWI
NEW CUMBERLAND PA 17070
DATE 09-04-2006
ESTATE OF BETZ JANE M
DATE OF DEATH 12-06-2005
FILE NUMBER . 21 06-0705
COUNTY CUMBERLAND
SSN/DC 169-28-7475
ACN 06118874
APPEAL DATE: 11-03-2006
(See reverse side under Objections)
Amount R_1tted 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 4-
Riy=is4i-ii-AFP-loJ=oii--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX ~PPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 09-04-2006
ESTATE OF BETZ
JANE
M DATE OF DEATH 12-06-2005
COUNTY CUMBERLAND
FILE NO. 21 06-0705
TAX RETURN WAS:
S.S/D.C. NO. 169-28-7475
(X) ~CCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06118874
FINANCIAL INSTITUTION: COMMERCE BANK
ACCOUNT NO.
410115542
TYPE OF ACCOUNT: ~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 12-28-1988
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
22,837.41
0.166
3,806.31
.00
3,806.31
.45
171.28
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 (-)
08-07-2006 CD007072 .00 171. 28
TOTAL TAX CREDIT 171. 28
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER THIS DATE1uSEE 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" ( CRl, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. 1