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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXESr--'-,
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601 ii
1 '. NOTICE OF INHERITANCE TAX
AP~~AIS~MENT. ALLOWANCE OR DISALLOWANCE
OF'D~I)UCTIONS. AND ASSESSMENT OF TAX ON
"JOINTLY HELD OR TRUST ASSETS
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RICHARD YARL~r:."
1195 KINGSLEY RD"
CAMP HILL PA
17011
REV-1548 EX AFP (06-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
06-05-2007
BREWER
11-13-2006
21 06-1163
CUMBERLAND
181-38-9086
07108416
APPEAL DATE: 08-04-2007
(See reverse side under Objections)
A.ount Re.1ttedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
SUSAN
C
TO:
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=is4i-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 06-05-2007
ESTATE OF BREWER
SUSAN
COUNTY
CUMBERLAND
C DATE OF DEATH 11-13-2006
FILE NO. 21 06-1163
TAX RETURN WAS:
S.S/D.C. NO. 181-38-9086
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
TYPE OF ACCOUNT:
DATE ESTABLISHED
ACN
07108416
ACCOUNT NO.
268664 -11
()SAVINGS OC) CHECKING (>TRUST ()TIME CERTIFICATE
07-28-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
3,291.19
0.500
1,645.60
.00
1,645.60
.15
246.84
X
x
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 08-14-2007*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 246.84
INTEREST AND PEN. .00
TOTAL DUE 246.84
* IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. *
( IF TOTAL DUE IS LESS THAN *1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR>. YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. >
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