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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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WILLIAM
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1 E FACTORY ST
MECHANICSBURG
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,"NOrICE OF INHERITANCE TAX
A~PRAISEMENT, ALLOWANCE OR DISALLOWANCE
,OF DEDUCT.I ONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
'1r.rll ~r? - -I ili't \ \: 28 DEASTTAETE OF
I..LI~ V 1...-.'
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
REV-1548 EX AFP (06-05)
BUREAU OF INDIVIDUAL TAXES ..,
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
PA 17055
09-11-2007
BELFORD
o4-o1-2oo7Vf'.ll
')..1- 07- OO()'1
CUMBERLAND
168-14-1265
07123126
APPEAL DATE: 11-10-2007
(See reverse side under Objections)
A.aunt ReMitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
JEAN
G
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 09-11-2007
ESTATE OF BELFORD
JEAN
G DATE OF DEATH 04-01-2007
COUNTY
CUMBERLAND
FILE NO. S.S/D.C. NO. 168-14-1265
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
07123126
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
37390-11
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS OC) CHECKING {HRUST {HIME CERTIFICATE
04-12-1984
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
14,005.15
0.166
2,334.24
.00
2,334.24
.00
.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
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
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. >
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