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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
APPRAISEMENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS. AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
DATE 03-24-2008
ESTATE OF LONG JEAN E
DATE OF DEATH 03-23-2007
FILE NUMBER 21 07-0318
COUNTY CUMBERLAND
SSN/DC 162-22-2230
ACN 08103758
APPEAL DATE: 05-23-2008
(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
JOYCE L LONG
316 15TH ST
NEW CUMBERLAND PA 17070
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
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REV-1548 EX AFP (03-05)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 03-24-2008
ESTATE OF LONG
JEAN
E DATE OF DEATH 03-23-2007
COUNTY
CUMBERLAND
FILE NO. 21 07-0318
TAX RETURN WAS:
S.S/D.C. NO. 162-22-2230
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: BELCO COMMUNITY CREDIT BANK
TYPE OF ACCOUNT:
DATE ESTABLISHED
ACN
08103758
ACCOUNT NO.
080150
~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
12-23-1975
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
16,664.23
0.500
8,332.12
.00
8,332.12
.12
999.85
X
X
TAX CREDITS:
PAYMENT
DATE
02-08-2008
RECEIPT
NUMBER
CD009281
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
999.85
BALANCE OF UNPAID INTEREST/PENALTY AS OF 02-09-2008 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. )
999.85
.00
9.24
9.24
(~/
,)