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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
.
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APr,R"I,~~T. ALLOWANCE OR DISALLOWANCE
OF'~EnUCTiONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
7.nUl SEP 21 PH 12: 52
DATE 09-24-2007
ESTATE OF BELFORD JEAN G
DATE OF DEATH 04-01-2007
FILE NUMBER 21 07 - 0804
COUNTY CUMBERLAND
SSN/DC 168-14-1265
ACN 07123125
APPEAL DATE: 11-23-2007
(See reverse side under Objections)
A.ount Re.lttedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
SHARON WOOTEN
2118 ARBOR COURT
MECHANICSBURG
CLERi\ OF
ORP:'-, 1,1.",1'(: .,"'n',.,I..RT
,.,j" .' ,v\oI I
Cu\!r'~'" ,,:~<,.,.\ '-?:\
PA 17055
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 09-24-2007
ESTATE OF BELFORD
JEAN
G DATE OF DEATH 04-01-2007
COUNTY
CUMBERLAND
FILE NO. 21 07-0804
TAX RETURN WAS:
S.S/D.C. NO. 168-14-1265
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
07123125
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
37390-05
TYPE OF ACCOUNT:
DATE ESTABLISHED
~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
01-15-1998
x
119,674.68
0.166
19,946.18
.00
19,946.18
.45
897.58
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."
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
x
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
PAYMENT MUST BE MADE BY 01-02-2008*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 897.58
INTEREST AND PEN. .00
TOTAL DUE 897.58
* 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. )
C-b