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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280&01
HARRISBURG PA 17128-0&01
'~r'(""ln(::T; ~e~ (iF:' INHERITANCE TAX
":\./~p'~~.~~S~.E,~~)' 4LLOWANCE OR DISALLOWANCE
'i.(~jP~'9,US:pOtl~/.AND ASSESSMENT OF TAX ON
-- JDINTLY HELD OR TRUST ASSETS
*'
2001 JUN 29 PM I: 15
PATRICIA B HENRY
26 CAMBRIDGE CT
CARLISLE
CLERK OF
ORPHf.,N'S COURT
CU', n:-c: .' r'n PA
'i"/I- .'..' -.,)",- /.
PA 17013
REV-15~8 EX AFP (0&-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
07-02-2007
LAY
04-25-2007
21 07-0543
CUMBERLAND
204-01-7572
07123180
APPEAL DATE: 08-31-2007
(See reverse side under Objections)
A.ount Re.1tted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
BERTHA
E
TO:
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
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 07-02-2007
ESTATE OF LAY
BERTHA
E DATE OF DEATH 04-25-2007
FILE NO. 21 07-0543
TAX RETURN WAS:
COUNTY
CUMBERLAND
S.S/D.C. NO. 204-01-7572
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
TYPE OF ACCOUNT:
DATE ESTABLISHED
ACN
07123180
ACCOUNT NO.
197620-00
~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
10-10-2000
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
2,164.94
0.500
1,082.47
.00
1,082.47
.45
48.71
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 (-)
06-04-2007 CD008233 2.44 46.27
TOTAL TAX CREDIT 48.71
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION DF ADDITIDNAL 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. )