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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
:Jnr~iP"'\ 0,~~- (:llF INHERITANCE TAX
";APP.WAHjEM. ,'. ALLOWANCE OR DISALLOWANCE
,+(:\Qh~ft?J\di Itf'!~i AND ASSESSMENT OF TAX ON
~~\I\, JOINTLY HELD OR TRUST ASSETS
DORIS BRYTZ
NORDIN HALL
11 TRIPLETT CT
DILLSBURG
2008 HAY -2 PM 12: 31
CLERK OF 'RT
ORPHAN'S COO
CUMBERlr'\}ID CO.. PA
PA 17019
REV-1548 EX AFP (06-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
05-05-2008
BRYTZ
11-05-2007
.<l/- O~ ;0(/5
C'tfMBERLAND
186-28-1319
08106115
APPEAL DATE: 07-04-2008
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
C
E
TO:
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS +-
REY=is48-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 05-05-2008
ESTATE OF BRYTZ
C
E DATE OF DEATH 11-05-2007
CUMBERLAND
COUNTY
FILE NO. S.S/D.C. NO. 186-28-1319
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU
TYPE OF ACCOUNT:
DATE ESTABLISHED
ACN
08106115
ACCOUNT NO.
0200168925
()SAVINGS ~) CHECKING ()TRUST ()TIME CERTIFICATE
10-15-1974
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
7,496.71
0.083
624.70
4,074.50
.00
.45
.00
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 (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* 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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