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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRIS8URG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
1"\1
,
CHARLES R ~P:O:S:E.RI
437 BETHAN't'rDR'
MECHANICSBLl~(; PA 17055
DATE 04-16-2007
ESTATE OF BOOSER DOROTHY J
DATE OF DEATH 01-11-2007 I
FILE NUMBER ....:J/ ,.",('CXY1.':;;?O
COUNTY ~UMBERLAND
SSN/DC 201-18-6250
ACN 07108363
APPEAL DATE: 06-15-2007
(See reverse side under Objections)
A.ount Re.itted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
10 f'" !,.:CC:
;.,j I: j _
CUT ALONG THIS LINE -. RETAIN LOWER PORTION FOR YOUR RECORDS 4'-
REY=is4S-EX-AFP-C03=Os5--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 04-16-2007
ESTATE OF BOOSER
DOROTHY
J DATE OF DEATH 01-11-2007
COUNTY
CUMBERLAND
FILE NO. S.S/D.C. NO. 201-18-6250
TAX RETURN WAS: eX) ACCEPTED AS FILED e) CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
071 08363
FINANCIAL INSTITUTION: M & T BANK
ACCOUNT NO.
16559479
TYPE OF ACCOUNT:
DATE ESTABLISHED
e )SAVINGS ~) CHECKING e )TRUST e )TIME CERTIFICATE
08-28-1964
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
1,036.40
0.500
518.20
664.20
.00
.45
.00
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."
X
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT e+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID e-)
TOTAL TAX CREDIT .00
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 TOTAL DUE IS LESS THAN *1, ND PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SID~ n~ T~TC:: ~nDM I:'nD H'C>TDIlr'TTn.." ,
fill