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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 17128-0601
-r-HOTIC-E OF INHERITANCE TAX
APPRAISEM~NT, ALLOWANCE OR DISALLOWANCE
OF OEDUCTION$, AND ASSESSMENT OF TAX ON
-JOINTLY HELD OR TRUST ASSETS
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WENDY LEBLANC
9 SILKWOOD LN
CARLISLE
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PA 17013
REV-1548 EX AFP (06-05)
DATE 09-11-2007
ESTATE OF CLINE BETTY J
DATE OF DEATH 04-30-2007
FILE NUMBER 21 07-0770
COUNTY CUMBERLAND
SSN/DC 196-18-5526
ACN 07125512
APPEAL DATE: 11-10-2007
(See reverse side under Objections)
A.ount Re.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 +-
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 09-11-2007
ESTATE OF CLINE
BETTY
J DATE OF DEATH 04-30-2007
COUNTY
CUMBERLAND
FILE NO. 21 07-0770
TAX RETURN WAS:
S.S/D.C. NO. 196-18-5526
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
TYPE OF ACCOUNT:
DATE ESTABLISHED
ACN
07125512
ACCOUNT NO.
226890 -11
()SAVINGS ex) CHECKING (>TRUST ()TIME CERTIFICATE
02-12-2003
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
759.86
0.500
379.93
.00
379.93
.45
17.10
x
x
TAX CREDITS:
PAYMENT
DATE
08-14-2007
RECEIPT
NUMBER
CD008546
DISCOUNT (+)
INTEREST/PEN PAID (-)
.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."
AMOUNT PAID
17.10
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* 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. )
17 .10
.00
.00
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