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10-09-09
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ^f-!~ ^NP"R'~C~6-4~ IN~IFRITANCE TAX AP'P~k2'SE'FFENn~; b L~W9MICE OR DISALLOWANCE ~. m... OF s,'~EIIlJCFI-b NS, ;AMD ASSESSMENT OF TAX ON JOITJTL7' HE1'D~~OR TRUST ASSETS REV-1548 IX AFP (01-09) ~~~~ ~~~ _g I I ~ Z STATE OF CAIN5-2009 MARTHA F DATE OF DEATH 12-25-2008 ~L f,,, t, FILE NUMBER ~~_~`~- 6"j(Q(p ~C~, ,` r„~ ^ COUNTY CUMBERLANn SARA A BOULTON C~~ -hi -''•-"`T SSN/DC 178-38-213 ~: stn ACN 09104855 1126 OYSTER MILL RD APPEAL DATE: 12-04-2009 CAMP H I L L P A 17 011-10 0 3 (See reverse side under Objections) Auount Remitted r MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE "'~ RETAIN LOWER PORTION FOR YOUR RECORDS l~ ----------------------------------------- _ REV-1548 EX AFP CO1-09) -----------"'-------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE ©F DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 1D-05-2009 ESTATE OF CAIN MARTHA F DATE OF DEATH 12-25-2008 COUNTY CUMBERLAND FILE N0. S.S/D.C. N0. 178-38-2153 ACN 09104855 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT N0. 000005000812386 TYPE OF ACCOUNT: ( )SAVINGS 4C) CHECKING C )TRUST C )TIME CERTIFICATE' DATE ESTABLISHED 02-13-1997 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 6,081.65 X 0.500 3,040.83 - 4,514.20 .00 X .45 .00 PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID C-) 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 T0: "REGISTER OF WILLS, AGENT." AMOUNT 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. C IF TOTAL DUE IS LESS THAN 61, NO PAYMENT IS REQUIRED. n IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND. c~AY/ SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )