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BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX k lk DEPARTMENT OF REVENUE
POHBOXTANCE 2806o1A��VCI�Ij lOFD OFFICE OF OFPDEDUCTIONS,AANDWANCE OR ASSESSMENTSOFLTTAXNCE UU-2 ON REV-1548 EX AFP (11-14)
HARRISBURG PA 17128-Q6��0({ ,��L� Or t�tl �� JOINTLY HELD OR TRUST ASSETS
(7 �p DATE 08-03-2015
?015 AUG 3 PM 12 02 ESTATE OF FORTNEY BETTY J
DATE OF DEATH 08-20-2014
FILE NUMBER 1:21— 115— 1.13
C L E R K F COUNTY CUMBERLAND
5 1c, SSN/DC
DAVID 0RBKH URTN`EY ACN 14148957
9 SKYCwW BEER L,,,N O i F
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APPEAL BY DATE:10-02-2015
MECHANICSBURG PA 17050-2329 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS 4--
REV-1548 EX AFP C11-14)--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 08-03-2015
ESTATE OF: FORTNEY BETTY J DATE OF DEATH:08-20-2014 COUNTY:CUMBERLAND
FILE NO. : S.S/D.C. NO. : ACN: 14148957
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS IST FCU ACCOUNT NO. : 12673-00
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING ( ))TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 11-04-1971
Account Balance 8,850.61 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 4,425.31 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 4,425.31 REGISTER OF WILLS AT THE
Tax Rate x . 15 ABOVE ADDRESS. MAKE CHECK
Tax Due 663.80 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 08-11-2015 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 663.80
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 4.52
TOTAL DUE 668.32
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. *
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. \�(�\
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. v�_�J