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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
,- ~.- - NO.TICE- OF INHERITANCE TAX
:Al'PRAI~EMENt, AL.LOWANCE OR DISALLOWANCE
OF ,DEIilUCTI,ONS',AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
'*
DATE 10-22-2007
Hi 12': 2 ~STATE OF KAUTZ JANET L
DATE OF DEATH 02-26-2007
FILE NUMBER 21 07- 0852
COUNTY CUMBERLAND
SSN/DC 202-20-2047
ACN 07134263
APPEAL DATE: 12-21-2007
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
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r.'. ',,; :_) U 1.._ j ~:;
DEBORAH LUCY
LOT 9A
124 WOODS DR
MECHANICSBURG PA 17050
REV-15~8 EX AFP (06-05>
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=is4S-EX-AFP-C03=OSj--------------------------__________________________________________
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 10-22-2007
ESTATE OF KAUTZ
JANET
L DATE OF DEATH 02-26-2007
S.S/D.C. NO. 202-20-2047
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FILE NO. 21 07-0852
TAX RETURN WAS:
FINANCIAL INSTITUTION: MID PENN BANK
TYPE OF ACCOUNT:
DATE ESTABLISHED
COUNTY
CUMBERLAND
ACN
07134263
ACCOUNT NO.
416000680
()SAVINGS () CHECKING ()TRUST oc: )TIME CERTIFICATE
11-13-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
5,116.17
0.500
2,558.09
.00
2,558.09
.45
115.11
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 11-27-2007*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 115.11
INTEREST AND PEN. .00
TOTAL DUE 115.11
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. * l&
( 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. >