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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX Z80601
HARRISBURG PA 171Z8-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT I ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS I AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
DATE 09-04-2006
ESTATE OF BETl JANE M
DATE OF DEATH 12-06-2005
FILE NUMBER 21 06-0705
COUNTY CUMBERLAND
SSN/DC 169-28-7475
ACN 06118873
APPEAL DATE: 11-03-2006
(See reverse side under Objections)
Amount Re.i tted I I
MAKE C~ECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLEI PA 17013
DONALD F BETl
308 ERFORD RD
CAMP HILL PA 17011
CUT ALONG THIS LINE ..... RElTAIN LOWER PORTION FOR YOUR RECORDS +-
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NOTICE OF INHERITANCE TAXJAPPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMEN~ OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 09-04-2006
ESTATE OF BETl
JANE
COUNTY CUMBERLAND
M DATE OF DEATH 12-06-2005
FILE NO. 21 06-0705
TAX RETURN WAS:
S.S/D.C. NO. 169-28-7475
(X) ACCEPTED AS FILED () CHANGED
~OINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: COMMERCE .ANK
TYPE OF ACCOUNT: ex )SAVINGS
DATE ESTABLISHED 12-28-1988
( ) CHECKING ( )TRUST
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
221837.41
0.166
31806.31
.00
31806.31
.00
.00
TAX CRED:ITS:
ACN
06118873
ACCOUNT NO.
410115542
( )TIME CERTIFICATE
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NOTE, ~~u~N:~~.c ~'.~~~D~~)~..
UPPER P~ F 'HtIS ~
WITH YOU~AY~T~:~~
REGISTER ti1~QLS .. TH~?f"
ABOVE ADDR8t. M,,* CtmI"A
OR MONEY aiBii PAY~E TO:
"REGISTER' WILLS I 'iCGENT ."
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 .00
· IF PAID AFTER THIS DATEI SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $11 NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRll YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. l